Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08678 | Date 31/03/2023 |
| Token No | SM/22-23/14786 19/02/2024 | Serial | 015 |
| Patient Name | Mrs. ALPANA MALIK | Contact No | 7439626659 |
| Address | 34/A BHAGIRATHI LANE | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||