Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13376 | Date 13/08/2025 |
| Token No | SM/25-26/1662 13/08/2025 | Serial | 017 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 7991484047 |
| Address | 62 RAILAND ROAD | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||