Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12206 | Date 07/10/2024 |
| Token No | SM/24-25/19217 07/10/2024 | Serial | 004 |
| Patient Name | Mrs. MADHURI PRASAD | Contact No | 891081260 |
| Address | 10/201 RAMSITA LANE | Age | 35 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||