Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13801 | Date 01/12/2025 |
| Token No | SM/25-26/2876 04/12/2025 | Serial | 011 |
| Patient Name | Mrs. UMRABATI DEVI | Contact No | 8585046608 |
| Address | INDIA JUTE MILL,RAM SITA LANE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||