Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13227 | Date 11/07/2025 |
| Token No | SM/25-26/1192 12/07/2025 | Serial | 005 |
| Patient Name | Mrs. PRATIMA MALIK | Contact No | 8482022834 |
| Address | 11 A.B. GARDEN LANE | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||