Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11762 | Date 10/07/2024 |
| Token No | SM/25-26/1638 11/08/2025 | Serial | 031 |
| Patient Name | Baby SAMYUKTA SINGH | Contact No | 8240264509 |
| Address | 23 N L B STREET | Age | 1 yr 2 months Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||