Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08231 | Date 02/02/2023 |
| Token No | SM/22-23/7678 03/02/2023 | Serial | 017 |
| Patient Name | Mrs. GURIYA KUMARI JHA | Contact No | 7980834618 |
| Address | 104 R B SARANI | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||