Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11633 | Date 17/10/2022 |
| Token No | SM/22-23/18249 24/11/2022 | Serial | 058 Last Visit: 21/12/2022 |
| Patient Name | Mrs. KHUSHBU PERVEEN | Contact No | 9382070193 |
| Address | 10 KANAHAI DEWAN TALA LANE | Age | 15 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 24.776795 |
| Diagnosis | |||