Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11605 | Date 03/06/2024 |
| Token No | SM/24-25/16660 03/06/2024 | Serial | 047 |
| Patient Name | Mrs. ARTI KUMARI.,. | Contact No | 6290274680 |
| Address | DEY STREET | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||