Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13585 | Date 09/10/2025 |
| Token No | SM/25-26/2229 09/10/2025 | Serial | 030 |
| Patient Name | Mrs. ANJALI DEVI | Contact No | 8585893628 |
| Address | 82 DEY STREET | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||