Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01994 | Date 22/06/2022 |
| Token No | SM/22-23/762 23/06/2022 | Serial | 011 |
| Patient Name | Mrs. CHAMPA DEVI | Contact No | 6291962113 |
| Address | JOGIBIR KAMARIAON BHOJPUR BIHAR 802183 | Age | 46 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||