Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06988 | Date 08/09/2022 |
| Token No | SM/22-23/5099 13/09/2022 | Serial | 025 |
| Patient Name | Mrs. KUSUM OJHA | Contact No | 6290886891 |
| Address | 2 LBS ROAD | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||