Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08468 | Date 28/02/2023 |
| Token No | SM/22-23/8132 01/03/2023 | Serial | 028 |
| Patient Name | Mrs. RUBI KUMARI | Contact No | 9007889553 |
| Address | JUBLEE MODEL BASTI | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||