Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07634 | Date 09/08/2024 |
| Token No | SM/24-25/26398 10/08/2024 | Serial | 009 |
| Patient Name | Mrs. MADHU DEVI | Contact No | 9836961362 |
| Address | 1/A/3A PRAVASHNAGAR RISHRA M 712249 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||