Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12022 | Date 29/08/2024 |
| Token No | SM/24-25/18477 29/08/2024 | Serial | 041 |
| Patient Name | Mrs. NANDITA BAGDI | Contact No | 6289816538 |
| Address | 60 NO PATUAPARA (2ND CHEKUP) | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||