Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10595 | Date 02/03/2026 |
| Token No | SM/25-26/15453 02/03/2026 | Serial | 029 |
| Patient Name | Mrs. DIPMALA CHOWBEY | Contact No | 7439693036 |
| Address | 106/1 B R B G T ROAD 712232 | Age | 41 Years,8 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||