Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13575 | Date 08/10/2025 |
| Token No | SM/25-26/2230 09/10/2025 | Serial | 031 |
| Patient Name | Miss PRIYANKA KUMARI | Contact No | 9097976737 |
| Address | 4 DEY GHAT LANE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||