Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01019 | Date 19/02/2020 |
| Token No | SM/19-20/2501 24/02/2020 | Serial | 006 |
| Patient Name | Mrs. MAMTA KUMARI | Contact No | 9883621645 |
| Address | 133 NEW MAHESH SERAM[PORE 712203 | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||