Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07471 | Date 01/11/2022 |
| Token No | SM/24-25/21398 19/03/2025 | Serial | 036 |
| Patient Name | Mrs. PAN KUMARI DEBI PANDEY | Contact No | 9903862698 |
| Address | 22 BAZAR BYE LANE | Age | 76 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||