Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06935 | Date 06/09/2022 |
| Token No | SM/22-23/5018 08/09/2022 | Serial | 037 |
| Patient Name | Mrs. GAYETRI OJHA | Contact No | 7980910432 |
| Address | TINBAZAR | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||