Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05275 | Date 11/01/2022 |
| Token No | SM/22-23/9335 02/05/2023 | Serial | 047 |
| Patient Name | Mrs. ARUNA DEBI.. | Contact No | 9331326648 |
| Address | 102 R B SARANI | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||