Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12824 | Date 08/12/2023 |
| Token No | SM/22-23/26859 08/12/2023 | Serial | 001 Last Visit: 08/12/2023 |
| Patient Name | Mrs. KAJAL SHAW | Contact No | 8013047730 |
| Address | K L GOSWAMI SARANI | Age | 29 Years,11 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||