Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00387 | Date 13/08/2018 |
| Token No | SM/21-22/5319 21/09/2021 | Serial | 046 Last Visit: 27/06/2023 |
| Patient Name | Mrs. REKHA SHAW | Contact No | |
| Address | 10, M.G. ROAD | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||