Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07279 | Date 17/10/2022 |
| Token No | SM/22-23/5658 18/10/2022 | Serial | 043 |
| Patient Name | Miss SAINA KUMARI PASWAN | Contact No | 9804924514 |
| Address | 16 Y SITAL SARKAR LANE | Age | 14 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||