Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10345 | Date 27/11/2021 |
| Token No | SM/21-22/7261 27/11/2021 | Serial | 037 Last Visit: 27/11/2021 |
| Patient Name | Mrs. NEHA SHAW | Contact No | |
| Address | CHATRA C.S.C CLUB | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||