Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09463 | Date 17/06/2025 |
| Token No | SM/25-26/3621 17/06/2025 | Serial | 001 |
| Patient Name | Mrs. AKANCHA SHAW | Contact No | 9258794546 |
| Address | 383 S.K NAGAR PRAVASNAGAR RISHRA712249 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||