Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09269 | Date 02/03/2021 |
| Token No | SM/20-21/30285 02/03/2021 | Serial | 048 Last Visit: 30/04/2021 |
| Patient Name | Mrs. SWETA KUMARI | Contact No | 9334744609 |
| Address | 4/RAJA RAM MOHAN SARANI | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||