Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09166 | Date 23/05/2023 |
| Token No | SM/22-23/9780 23/05/2023 | Serial | 019 |
| Patient Name | Mrs. NEHA KUMARI | Contact No | 8367609360 |
| Address | 13 DEY GHAT LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||