Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02538 | Date 22/07/2019 |
| Token No | SM/25-26/127 10/04/2025 | Serial | 018 |
| Patient Name | Mrs. BABITA SINGH | Contact No | 9874442831 |
| Address | 75 DEY ST | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||