Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00923 | Date 10/02/2020 |
| Token No | SM/19-20/2164 10/02/2020 | Serial | 034 |
| Patient Name | Mrs. SANTI KHAROAR | Contact No | |
| Address | PROVASNAGER | Age | 60 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||