Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13441 | Date 01/09/2025 |
| Token No | SM/25-26/1836 01/09/2025 | Serial | 036 |
| Patient Name | Mrs. KIRAN KUMARI | Contact No | 9007380278 |
| Address | THAKURBATI STREET | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||