Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06149 | Date 20/06/2022 |
| Token No | SM/22-23/3656 28/06/2022 | Serial | 033 |
| Patient Name | Mrs. KUMARI DEBI | Contact No | NOT GIVEN |
| Address | kheyali club | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||