Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10938 | Date 20/04/2022 |
| Token No | SM/22-23/11956 23/04/2022 | Serial | 006 Last Visit: 23/04/2022 |
| Patient Name | Mrs. RAYEESA KHATOON | Contact No | 8479933921 |
| Address | 10 PARSHI LANE | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||