Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13502 | Date 10/09/2025 |
| Token No | SM/25-26/2006 11/09/2025 | Serial | 001 |
| Patient Name | Mrs. NAMITA YADAV | Contact No | 8697448796 |
| Address | PAL BAGAN DEY STREET | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||