Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 14394 | Date 15/10/2024 |
| Token No | SM/24-25/38207 15/10/2024 | Serial | 006 Last Visit: 15/10/2024 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | |
| Address | 70/E K.B LANE | Age | 20 Years,0 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||