Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 11747 | Date 05/07/2024 |
| Token No | SM/24-25/17396 08/07/2024 | Serial | 005 |
| Patient Name | Mrs. SIMA SINGH | Contact No | 8420078271 |
| Address | 17C N L B STREET | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||