Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06980 | Date 08/09/2022 |
| Token No | SM/22-23/5095 13/09/2022 | Serial | 021 |
| Patient Name | Mrs. KIRAN DEVI | Contact No | 9674826792 |
| Address | 122 R. B. SARANI | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||