Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14336 | Date 01/10/2024 |
| Token No | SM/24-25/37849 01/10/2024 | Serial | 040 Last Visit: 01/10/2024 |
| Patient Name | Mrs. SIKHA BAIRAGI | Contact No | |
| Address | 18/B P 1ST LANE MAHESH | Age | 56 Years,0 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||