Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08967 | Date 11/11/2020 |
| Token No | SM/20-21/27491 11/11/2020 | Serial | 048 Last Visit: 11/11/2020 |
| Patient Name | Mr. RAJANI MUDI | Contact No | |
| Address | SHEORAPHULI | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||