Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06421 | Date 13/03/2024 |
| Token No | SM/22-23/19754 13/03/2024 | Serial | 009 |
| Patient Name | Mrs. KIRTI SRIVASTAVA | Contact No | 8599974053 |
| Address | FL-1 3RD FLOOR 57 GT ROAD RISHRA 712248 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||