Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12261 | Date 23/10/2024 |
| Token No | SM/24-25/19436 23/10/2024 | Serial | 025 |
| Patient Name | Mrs. NIBHA DEVI | Contact No | 6291191873 |
| Address | 112 R.B.SARANI | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||