Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12584 | Date 29/01/2025 |
| Token No | SM/25-26/1165 10/07/2025 | Serial | 029 |
| Patient Name | Mrs. ARCHANA KUMARI | Contact No | 8777329732 |
| Address | 18 no Dharmatala | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||