Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12180 | Date 30/09/2024 |
| Token No | SM/24-25/19128 30/09/2024 | Serial | 052 |
| Patient Name | Mrs. KIRAN MISHRA | Contact No | 9038393763 |
| Address | RAILAND ROAD | Age | 24 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||