Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04888 | Date 07/09/2021 |
| Token No | SM/24-25/21235 06/03/2025 | Serial | 021 |
| Patient Name | Mrs. ARUNA DEBI | Contact No | 9874060636 |
| Address | R B SARANI | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||