Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06112 | Date 16/06/2022 |
| Token No | SM/22-23/3575 23/06/2022 | Serial | 022 |
| Patient Name | Mrs. SULEKHA SHAW | Contact No | 8820658675 |
| Address | 6 KAMAR PATTY | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||