Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13569 | Date 08/10/2025 |
| Token No | SM/25-26/2257 11/10/2025 | Serial | 012 |
| Patient Name | Miss KHUSHI KUMARI | Contact No | 9432982164 |
| Address | 12 PITAMBAR DEY LANE | Age | 6 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||