Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12814 | Date 19/03/2025 |
| Token No | SM/24-25/21407 19/03/2025 | Serial | 045 |
| Patient Name | Mrs. ISHA PARUI | Contact No | 7278472471 |
| Address | NALIKUL | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||