Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08932 | Date 22/03/2025 |
| Token No | SM/25-26/7092 29/08/2025 | Serial | 008 |
| Patient Name | Miss ANNU TIWARI | Contact No | 7439543563 |
| Address | 42 NO S S ROAD RISHRA M 712249 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||