Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08767 | Date 17/04/2023 |
| Token No | SM/24-25/18876 19/09/2024 | Serial | 023 |
| Patient Name | Mrs. MAMANI BAG | Contact No | 8902800426 |
| Address | 4 A B GARDEN LANE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||