Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11716 | Date 27/06/2024 |
| Token No | SM/24-25/17214 27/06/2024 | Serial | 045 |
| Patient Name | Mrs. RENU DEBI | Contact No | |
| Address | Age | 48 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||