Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10301 | Date 04/09/2023 |
| Token No | SM/22-23/15560 01/04/2024 | Serial | 025 |
| Patient Name | Mrs. RENU DEVI.. | Contact No | 6290638460 |
| Address | 113 NO RB SARANI | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||