Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06900 | Date 05/09/2022 |
| Token No | SM/22-23/5733 21/10/2022 | Serial | 033 |
| Patient Name | Mrs. TULSI GUPTA | Contact No | 9163215760 |
| Address | 1 MAIDA PATTY LANE | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||