Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07492 | Date 03/11/2022 |
| Token No | SM/22-23/7038 16/12/2022 | Serial | 018 |
| Patient Name | Mrs. NANDARANI GOR | Contact No | 8697876419 |
| Address | 40A/3 BHAGIRATHI LANE | Age | 45 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||