Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11152 | Date 18/06/2022 |
| Token No | SM/22-23/13718 18/06/2022 | Serial | 040 Last Visit: 18/06/2022 |
| Patient Name | Mr. LAKMI NARAYAN SHAW | Contact No | 9681770990 |
| Address | 30,BAZAR BY LANE | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||