Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09798 | Date 27/07/2023 |
| Token No | SM/24-25/20527 16/01/2025 | Serial | 004 |
| Patient Name | Mrs. SUMITRA BANIK | Contact No | 8100794959 |
| Address | BLCM ROAD, MAHESH | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||