Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12338 | Date 14/11/2024 |
| Token No | SM/24-25/20839 05/02/2025 | Serial | 011 |
| Patient Name | Mrs. YOGITA MAJHI | Contact No | 6291950657 |
| Address | 6/189 COKREN ROAD | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||