Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08244 | Date 03/02/2023 |
| Token No | SM/22-23/7710 07/02/2023 | Serial | 005 |
| Patient Name | Mrs. HEMA SINGH | Contact No | 8620845586 |
| Address | 3 BAZAR BYE LANE | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||