Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12462 | Date 16/12/2024 |
| Token No | SM/24-25/20222 16/12/2024 | Serial | 017 |
| Patient Name | Mrs. NISHA KUMARI | Contact No | 9038975249 |
| Address | 19 NO DOSTI LANE | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||