Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11711 | Date 26/06/2024 |
| Token No | SM/24-25/17167 26/06/2024 | Serial | 021 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 6290638460 |
| Address | Age | 46 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||