Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11631 | Date 10/06/2024 |
| Token No | SM/24-25/16785 10/06/2024 | Serial | 034 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | 8420982528 |
| Address | 124 NO RB SARANI | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||