Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11547 | Date 16/05/2024 |
| Token No | SM/24-25/16327 16/05/2024 | Serial | 046 |
| Patient Name | Mrs. SHARMILA DEVI | Contact No | 7061201072 |
| Address | RAMSITA LANE | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||