Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12714 | Date 03/03/2025 |
| Token No | SM/24-25/21210 05/03/2025 | Serial | 028 |
| Patient Name | Miss SANVI PRASAD | Contact No | 8294455202 |
| Address | 112 R.B. SARANI | Age | 10 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||