Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06343 | Date 13/07/2022 |
| Token No | SM/22-23/5532 14/10/2022 | Serial | 042 |
| Patient Name | Mrs. SANJU PASWAN | Contact No | 8981811807 |
| Address | 20 ATC LANE NICHU BASTI | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||