Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10771 | Date 11/03/2022 |
| Token No | SM/21-22/10740 12/03/2022 | Serial | 041 Last Visit: 12/03/2022 |
| Patient Name | Mrs. MAYA SINGH | Contact No | 8420674971 |
| Address | 46B KUMIRJALA ROAD | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||