Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 14364 | Date 05/10/2024 |
| Token No | SM/24-25/37983 05/10/2024 | Serial | 013 Last Visit: 05/10/2024 |
| Patient Name | Master OM BAIRAGI | Contact No | |
| Address | 1/A/C/B B.P.2ND LANE | Age | 4 Years,0 Months,4 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||