Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08776 | Date 17/04/2023 |
| Token No | SM/22-23/9797 23/05/2023 | Serial | 036 |
| Patient Name | Miss CHANDNI KUMARI | Contact No | 8910377455 |
| Address | 103 RISHI BANKIM SARANI | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||