Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10955 | Date 23/04/2022 |
| Token No | SM/22-23/12117 30/04/2022 | Serial | 017 Last Visit: 30/04/2022 |
| Patient Name | Mrs. SAHEEN BANO | Contact No | |
| Address | 63/2 R.K.ROAD RISHRA | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||