Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07848 | Date 30/11/2022 |
| Token No | SM/24-25/18001 07/08/2024 | Serial | 044 |
| Patient Name | Mrs. SHANTI BAYEN | Contact No | 8617799311 |
| Address | K.M. SHA STREET | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||