Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06315 | Date 08/07/2022 |
| Token No | SM/22-23/4663 23/08/2022 | Serial | 016 |
| Patient Name | Mrs. LACHHMI KUMARI SINGH | Contact No | 9031148946 |
| Address | 57/71 RAILAND ROAD | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||