Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12494 | Date 23/12/2024 |
| Token No | SM/24-25/20366 23/12/2024 | Serial | 034 |
| Patient Name | Mrs. ANJALI HELA | Contact No | 8961298536 |
| Address | RAMSITA LANE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||