Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11050 | Date 18/01/2024 |
| Token No | SM/22-23/14397 24/01/2024 | Serial | 017 |
| Patient Name | Mrs. LACHHMI RAJBHAR | Contact No | 9123750538 |
| Address | 14/C DEY STREET | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||