Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11915 | Date 07/08/2024 |
| Token No | SM/24-25/18005 07/08/2024 | Serial | 048 |
| Patient Name | Mrs. GURIYA SHARMA | Contact No | 6290614507 |
| Address | 125 RISHI BANKIM SARANI | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||