Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12088 | Date 09/09/2024 |
| Token No | SM/24-25/18718 09/09/2024 | Serial | 051 |
| Patient Name | Mrs. RAJNANDANI SAHANI | Contact No | |
| Address | Age | 28 Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||