Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02586 | Date 23/07/2019 |
| Token No | SM/22-23/15133 07/03/2024 | Serial | 020 |
| Patient Name | Mrs. BABY MALIK,., | Contact No | 9748022665 |
| Address | ANNADA BABU GARDEN LANE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||