Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 12174 | Date 30/09/2024 |
| Token No | SM/24-25/19119 30/09/2024 | Serial | 043 |
| Patient Name | Mrs. SIKHA BAIRAGI | Contact No | 8013678484 |
| Address | 18/B P 1ST LANE MAHESH | Age | 56 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||