Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02488 | Date 12/12/2018 |
| Token No | SM/25-26/8331 27/11/2025 | Serial | 018 Last Visit: 27/11/2025 |
| Patient Name | Mrs. REHANA BEGAM | Contact No | |
| Address | LIBARY LANE | Age | 72 Years,10 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||