Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12531 | Date 16/01/2025 |
| Token No | SM/24-25/20588 18/01/2025 | Serial | 010 |
| Patient Name | Miss SUMITRA PASWAN | Contact No | 8100064003 |
| Address | 16 SITAL SARKAR LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||