Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12961 | Date 05/05/2025 |
| Token No | SM/25-26/366 05/05/2025 | Serial | 025 |
| Patient Name | Mrs. VARSHA PASWAN | Contact No | 9330740730 |
| Address | 4 NATUN BAGAN LANE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||