Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09482 | Date 23/06/2023 |
| Token No | SM/24-25/15913 22/04/2024 | Serial | 054 |
| Patient Name | Mrs. SARITA SINGH | Contact No | 9088376086 |
| Address | 70 AKHRA BATI | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||