Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04658 | Date 31/07/2023 |
| Token No | SM/22-23/11119 31/07/2023 | Serial | 016 |
| Patient Name | Mrs. LATIKA DALAL | Contact No | 8697339708 |
| Address | 82, BARUI PARA CHATRA | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||