Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04519 | Date 23/06/2021 |
| Token No | SM/22-23/15002 28/02/2024 | Serial | 040 |
| Patient Name | Mrs. PRITI PRASAD | Contact No | 8505803810 |
| Address | 45/A PANCHANAN TALA LANE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||