Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13495 | Date 09/09/2025 |
| Token No | SM/25-26/2002 10/09/2025 | Serial | 029 |
| Patient Name | Mrs. BHUMI KUMARI RAM | Contact No | 9123317759 |
| Address | BHADRESWAR | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||