Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12089 | Date 09/09/2024 |
| Token No | SM/24-25/18720 09/09/2024 | Serial | 053 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | |
| Address | ( 3RD CHEKUP) | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||