Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11246 | Date 06/03/2024 |
| Token No | SM/22-23/15138 07/03/2024 | Serial | 025 |
| Patient Name | Mrs. ANITA DEBI | Contact No | 7890661933 |
| Address | 104 R.B. SARANI | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||