Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13335 | Date 05/08/2025 |
| Token No | SM/25-26/1554 06/08/2025 | Serial | 015 |
| Patient Name | Miss SHALINI SINGH | Contact No | 9330481154 |
| Address | 264 G.T. ROAD, MAHESH | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||