Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10203 | Date 18/10/2021 |
| Token No | SM/22-23/11511 07/04/2022 | Serial | 019 Last Visit: 07/04/2022 |
| Patient Name | Mrs. SALMA KHATOON | Contact No | 7044711624 |
| Address | SHEORAPHULI | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||