Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08072 | Date 30/12/2022 |
| Token No | SM/22-23/8059 23/02/2023 | Serial | 028 |
| Patient Name | Mrs. RINKU DEBI. | Contact No | 8478921417 |
| Address | 104 R B SARANI | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||