Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10312 | Date 22/11/2021 |
| Token No | SM/21-22/7071 23/11/2021 | Serial | 037 Last Visit: 23/12/2021 |
| Patient Name | Mrs. PRIYANKA VERMA | Contact No | 9369441813 |
| Address | 11/A KAPARIYA PATTY LANE, | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||