Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12215 | Date 07/10/2024 |
| Token No | SM/24-25/19254 07/10/2024 | Serial | 041 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 9123959298 |
| Address | 28 KL GOSWAMI SARANI | Age | 22 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||