Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10235 | Date 27/11/2025 |
| Token No | SM/25-26/11104 27/11/2025 | Serial | 057 |
| Patient Name | Mrs. K RAJESHWARI | Contact No | 9121559273 |
| Address | 4 R K ROAD JHUBRI PATTI 712202 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||