Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12702 | Date 24/02/2025 |
| Token No | SM/24-25/21112 24/02/2025 | Serial | 032 |
| Patient Name | Mrs. RADHA PRASAD | Contact No | 9931172175 |
| Address | 76 DEY STREET | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||