Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12778 | Date 13/03/2025 |
| Token No | SM/24-25/21315 13/03/2025 | Serial | 004 |
| Patient Name | Mrs. AMISHA KUMARI | Contact No | 980608865 |
| Address | 86/C/6 DEY STREET | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||