Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11648 | Date 13/06/2024 |
| Token No | SM/24-25/19811 21/11/2024 | Serial | 006 |
| Patient Name | Mrs. ROSHNI KUMARI | Contact No | 9088534469 |
| Address | 18 NO AKRABATI LANE | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||