Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13457 | Date 02/09/2025 |
| Token No | SM/25-26/1888 03/09/2025 | Serial | 023 |
| Patient Name | Mrs. SANGITA KUMARI | Contact No | 7003652119 |
| Address | RAM SITA LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||