Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10160 | Date 11/11/2025 |
| Token No | SM/25-26/10276 11/11/2025 | Serial | 007 |
| Patient Name | Mrs. NAMITA KUMARI SAH | Contact No | 7439566510 |
| Address | 70/A/A/2/98 K B LANE 712202 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||