Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05186 | Date 21/09/2023 |
| Token No | SM/22-23/13318 21/09/2023 | Serial | 002 |
| Patient Name | Mrs. MAHISARA BIBI | Contact No | 9966795476 |
| Address | 17B/2 MIYAJAN JARJI LANE MALLIKPARA 712203 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||