Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08885 | Date 27/04/2023 |
| Token No | SM/22-23/9334 02/05/2023 | Serial | 046 |
| Patient Name | Mrs. MENKA KUMARI | Contact No | 8697571285 |
| Address | 7/263 RAM SITA LANE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||