Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09148 | Date 22/05/2023 |
| Token No | SM/22-23/9884 30/05/2023 | Serial | 007 |
| Patient Name | Mrs. DURGA HARI.. | Contact No | |
| Address | LAXMIGHAT | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||