Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12885 | Date 17/04/2025 |
| Token No | SM/25-26/148 17/04/2025 | Serial | 009 |
| Patient Name | Mrs. LAXMI KUMARI SINGH | Contact No | 9031148946 |
| Address | 59/ 71 RAILAND ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||