Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06843 | Date 30/08/2022 |
| Token No | SM/22-23/4803 01/09/2022 | Serial | 023 |
| Patient Name | Mrs. Y SUNITA | Contact No | 9681081071 |
| Address | 13A R B SARANI | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||