Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12871 | Date 07/04/2025 |
| Token No | SM/25-26/91 07/04/2025 | Serial | 035 |
| Patient Name | Mrs. NEHA THAKUR.. | Contact No | 8249964900 |
| Address | 113.R.B SARANI | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||