Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11710 | Date 26/06/2024 |
| Token No | SM/24-25/17166 26/06/2024 | Serial | 020 |
| Patient Name | Mrs. ANNU CHOUDHARY | Contact No | 9163504713 |
| Address | RAILAND ROAD | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||