Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08560 | Date 15/03/2023 |
| Token No | SM/22-23/8344 16/03/2023 | Serial | 016 |
| Patient Name | Mrs. SIUMATI SINGH | Contact No | 9007679848 |
| Address | 75 DEY STREET | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||