Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11658 | Date 14/06/2024 |
| Token No | SM/24-25/16993 19/06/2024 | Serial | 047 |
| Patient Name | Mrs. PAPIYA KOLE | Contact No | 9748689230 |
| Address | BARA HAWA KHANA | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||