Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10121 | Date 31/10/2025 |
| Token No | SM/25-26/9855 03/11/2025 | Serial | 028 |
| Patient Name | Mrs. GURIYA PRASAD | Contact No | 9748233590 |
| Address | 54 SHRIKRISHNANAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||