Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12075 | Date 07/09/2024 |
| Token No | SM/24-25/18716 09/09/2024 | Serial | 049 |
| Patient Name | Mrs. SHANTI KUMARI | Contact No | 8910170487 |
| Address | 7/C B.L.C MILL ROAD(1ST CHEKUP) | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||