Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12362 | Date 21/11/2024 |
| Token No | SM/24-25/19897 25/11/2024 | Serial | 043 |
| Patient Name | Mrs. SAKILA BIBI | Contact No | 8420971653 |
| Address | 16 K M SHA STREET | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||