Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12972 | Date 07/05/2025 |
| Token No | SM/25-26/487 17/05/2025 | Serial | 006 |
| Patient Name | Mrs. PARBATI HELA | Contact No | 7896129853 |
| Address | 12/566 COCKRANE ROAD | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||