Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08606 | Date 30/07/2020 |
| Token No | SM/19-20/24612 30/07/2020 | Serial | 022 Last Visit: 19/11/2024 |
| Patient Name | Mrs. URMILA SHAW | Contact No | |
| Address | MAHESH | Age | 55 Years,10 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||