Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09289 | Date 14/05/2025 |
| Token No | SM/25-26/2032 14/05/2025 | Serial | 079 |
| Patient Name | Mrs. SUMITA MAHATO | Contact No | 9874448682 |
| Address | 70/A/2 KB LANE 712202 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||