Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09114 | Date 18/05/2023 |
| Token No | SM/22-23/9675 18/05/2023 | Serial | 035 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 7044377042 |
| Address | 55 NO ROYLAND ROAD | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||