Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17169 | Date 24/08/2026 |
| Token No | SM/25-26/14407 27/08/2026 at 10:36 | Serial | 025 Last Visit: 27/08/2026 |
| Patient Name | Mrs. PRIYANKA LODH | Contact No | 9831116424 |
| Address | KALPATURU BHAWAN 4 TH FLOOR CHATRA CAC CLUB | Age | 39 Years,10 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||