Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11787 | Date 13/07/2024 |
| Token No | SM/24-25/19902 25/11/2024 | Serial | 048 |
| Patient Name | Mrs. MANJIT KAUR | Contact No | 9903136663 |
| Address | 119 T B STREET | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||