Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11916 | Date 07/08/2024 |
| Token No | SM/24-25/18007 07/08/2024 | Serial | 050 |
| Patient Name | Mrs. TANU PRASAD | Contact No | 7890767615 |
| Address | JHAUTALA | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||