Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 13831 | Date 06/12/2025 |
| Token No | SM/25-26/2926 08/12/2025 | Serial | 021 |
| Patient Name | Miss NIDHI SINGH | Contact No | 9304361483 |
| Address | 6/5 B P 1ST LANE, MAHESH | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||