Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05726 | Date 20/04/2022 |
| Token No | SM/22-23/2836 26/04/2022 | Serial | 015 |
| Patient Name | Mrs. ANJALI PANDEY | Contact No | 8777454221 |
| Address | 3/15 INDIA JUTE MILL | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||