Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12810 | Date 19/03/2025 |
| Token No | SM/24-25/21390 19/03/2025 | Serial | 028 |
| Patient Name | Mrs. PRASANTI PRADHAN | Contact No | 9330475002 |
| Address | 14 RAMSITA LANE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||