Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13168 | Date 26/06/2025 |
| Token No | SM/25-26/1015 28/06/2025 | Serial | 003 |
| Patient Name | Baby ESTHER LALRAMDINGSANGI | Contact No | 7005479793 |
| Address | KHASBAGAN LANE | Age | 4 YEARS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||