Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12343 | Date 14/11/2024 |
| Token No | SM/24-25/19722 14/11/2024 | Serial | 029 |
| Patient Name | Mrs. BABY KUMARI | Contact No | 8240425176 |
| Address | 121,RISHI BANKIM SARANI | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||