Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13101 | Date 11/06/2025 |
| Token No | SM/25-26/774 11/06/2025 | Serial | 037 |
| Patient Name | Mrs. PUJA YADAV | Contact No | 9833551790 |
| Address | 72 M PATUAPARA LANE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||