Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12849 | Date 03/04/2025 |
| Token No | SM/25-26/84 07/04/2025 | Serial | 028 |
| Patient Name | Mrs. PRABHAVATI DEVI | Contact No | 9852330870 |
| Address | INDIA JUTE MILL | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||