Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13781 | Date 26/11/2025 |
| Token No | SM/25-26/2778 26/11/2025 | Serial | 018 |
| Patient Name | Mrs. GUDDI SANA PARVEEN | Contact No | 8777211973 |
| Address | 27 NLB STREET | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||