Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12207 | Date 07/10/2024 |
| Token No | SM/24-25/19218 07/10/2024 | Serial | 005 |
| Patient Name | Mrs. RASHMI OJHA | Contact No | 7044291528 |
| Address | 70/A/2 K. B. LANE | Age | 27 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||