Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04634 | Date 09/04/2019 |
| Token No | SM/22-23/20263 13/02/2023 | Serial | 001 Last Visit: 13/02/2023 |
| Patient Name | Mrs. ANIMA GURUNG | Contact No | 9903254101 |
| Address | RAMKRISHNA NAGAR NICHU MATH, SHEORAPHULY, BAIDYABATI M | Age | 50 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||