Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05492 | Date 21/10/2023 |
| Token No | SM/22-23/14683 21/10/2023 | Serial | 014 |
| Patient Name | Mrs. KABITA SASMOL | Contact No | 9903298513 |
| Address | 40/A BHAGIRATH SARANI | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||