Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05868 | Date 18/05/2022 |
| Token No | SM/22-23/3035 19/05/2022 | Serial | 018 |
| Patient Name | Mrs. PRATIBHA SHARMA | Contact No | 8910459686 |
| Address | 4 BURO BIBI LANE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||