Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13445 | Date 01/09/2025 |
| Token No | SM/25-26/1843 01/09/2025 | Serial | 043 |
| Patient Name | Mrs. PUNAM BHAGAT | Contact No | 8081545207 |
| Address | BLC MILL ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||