Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12024 | Date 30/08/2024 |
| Token No | SM/24-25/18550 02/09/2024 | Serial | 031 |
| Patient Name | Mrs. SHIBANI SHIL | Contact No | 9832710435 |
| Address | 72 NEHERU NAGAR COLONY | Age | 42 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||