Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08600 | Date 24/01/2025 |
| Token No | SM/24-25/34688 25/01/2025 | Serial | 063 |
| Patient Name | Mrs. PUJA DEVI | Contact No | 8697301913 |
| Address | 1032/9 S K NAGAR RISHRA M 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||