Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06007 | Date 07/06/2022 |
| Token No | SM/22-23/3314 09/06/2022 | Serial | 028 |
| Patient Name | Mrs. ANJALI KUMAR | Contact No | 9875415503 |
| Address | 4 L.B.S ROAD | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||