Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08127 | Date 06/01/2023 |
| Token No | SM/22-23/7425 10/01/2023 | Serial | 003 |
| Patient Name | Mrs. SARASWATI PARIYALI | Contact No | 9163622453 |
| Address | 5 DOSTI LANE | Age | 50 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||