Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09119 | Date 17/04/2025 |
| Token No | SM/25-26/854 19/04/2025 | Serial | 022 |
| Patient Name | Miss KARINA SINGH | Contact No | 8420924766 |
| Address | 377 S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||