Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11188 | Date 21/02/2024 |
| Token No | SM/22-23/14890 21/02/2024 | Serial | 059 |
| Patient Name | Mrs. MANISHA SHAW | Contact No | |
| Address | Age | 21 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||