Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07459 | Date 01/11/2022 |
| Token No | SM/22-23/6092 07/11/2022 | Serial | 042 |
| Patient Name | Miss PUSPA KUMARI | Contact No | 9088248711 |
| Address | 5 DOSTI LANE | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||