Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05201 | Date 21/09/2023 |
| Token No | SM/22-23/13369 21/09/2023 | Serial | 053 |
| Patient Name | Mrs. LAKHMI RAJBHAR | Contact No | 9123868490 |
| Address | 1122 PROVASNAGAR 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||