Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12028 | Date 30/08/2024 |
| Token No | SM/24-25/18546 02/09/2024 | Serial | 027 |
| Patient Name | Mrs. SAPNA KUMARI | Contact No | 9804789879 |
| Address | 30 NO DOSTI LANE( 1ST CHEKUP) | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||