Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12177 | Date 30/09/2024 |
| Token No | SM/24-25/19174 04/10/2024 | Serial | 009 |
| Patient Name | Mrs. PINKI BARI | Contact No | 9875561205 |
| Address | 2NO BANGO LAKKHI ROAD | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||