Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10943 | Date 13/12/2023 |
| Token No | SM/24-25/15628 04/04/2024 | Serial | 008 |
| Patient Name | Mrs. SUSHILA SINGH | Contact No | 9051509755 |
| Address | 15A LIBRARY LANE | Age | 81 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||