Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07598 | Date 11/11/2022 |
| Token No | SM/22-23/6614 24/11/2022 | Serial | 028 |
| Patient Name | Mrs. BANASHRI MAL | Contact No | 9830715709 |
| Address | 25 LELIN SARANI | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||