Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06207 | Date 24/06/2022 |
| Token No | SM/22-23/3666 28/06/2022 | Serial | 043 |
| Patient Name | Mrs. NIKKI KUMARI | Contact No | 6392016647 |
| Address | 4 P B M BYE LANE | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||