Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11465 | Date 02/05/2024 |
| Token No | SM/24-25/16033 02/05/2024 | Serial | 016 |
| Patient Name | Mrs. NIGITA RAI | Contact No | 9088711631 |
| Address | 57/12 ROYLAND ROAD | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||