Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09232 | Date 02/06/2023 |
| Token No | SM/22-23/9949 02/06/2023 | Serial | 030 |
| Patient Name | Mrs. MAMTA JAISWARA | Contact No | 7605837780 |
| Address | 7NO. DEY GHAT LANE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||