Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08846 | Date 24/04/2023 |
| Token No | SM/22-23/9124 24/04/2023 | Serial | 059 |
| Patient Name | Mrs. SABITA KUMARI BHAGAT | Contact No | 9875323967 |
| Address | 11 AKHRABATI LANE | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||