Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12834 | Date 29/03/2025 |
| Token No | SM/25-26/11 02/04/2025 | Serial | 010 |
| Patient Name | Mrs. INDRANI SRIMANI | Contact No | 8961491864 |
| Address | 22 NEHERU NAGAR COLONY | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||