Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12833 | Date 29/03/2025 |
| Token No | SM/25-26/6 02/04/2025 | Serial | 005 |
| Patient Name | Mrs. MANJU DEBI | Contact No | 9875322215 |
| Address | 19 AKHRA BATI | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||