Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08995 | Date 10/05/2023 |
| Token No | SM/22-23/9678 18/05/2023 | Serial | 038 |
| Patient Name | Mrs. SHANTI SINGH | Contact No | 9123813706 |
| Address | 55 RAILAND ROAD | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||