Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09742 | Date 23/06/2021 |
| Token No | SM/21-22/2494 23/06/2021 | Serial | 048 Last Visit: 12/04/2024 |
| Patient Name | Mrs. BABITA SHAW | Contact No | |
| Address | 9/4 PROVASNAGAR | Age | 31 Years,3 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||