Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12232 | Date 14/10/2024 |
| Token No | SM/24-25/19289 14/10/2024 | Serial | 002 |
| Patient Name | Mrs. CHANDA DEVI | Contact No | 9650633476 |
| Address | 2/140 MAHESH COLONY | Age | 30 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||