Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07252 | Date 14/10/2022 |
| Token No | SM/22-23/5659 18/10/2022 | Serial | 044 |
| Patient Name | Mrs. TANUJA SINGH | Contact No | 9007555805 |
| Address | 4 LBS ROAD | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||