Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07798 | Date 24/11/2022 |
| Token No | SM/22-23/6709 29/11/2022 | Serial | 024 |
| Patient Name | Miss BINITA BISWAL | Contact No | 9393111122 |
| Address | 3 DOSTI LANE | Age | 10 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||