Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06420 | Date 13/03/2024 |
| Token No | SM/22-23/19751 13/03/2024 | Serial | 006 |
| Patient Name | Mrs. KAJAL KUMARI | Contact No | |
| Address | 22/2 F D ROAD SOCITY MATH 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||