Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05617 | Date 31/03/2022 |
| Token No | SM/22-23/2842 28/04/2022 | Serial | 005 |
| Patient Name | Mrs. MADHURI THAKUR | Contact No | 9674338301 |
| Address | 113 R B SARANI | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||