Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12981 | Date 12/05/2025 |
| Token No | SM/25-26/434 12/05/2025 | Serial | 012 |
| Patient Name | Mrs. SONI KUMARI | Contact No | 9007590339 |
| Address | 126 R.B. SARANI | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||