Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02433 | Date 08/07/2019 |
| Token No | SM/18-19/4709 09/07/2019 | Serial | 025 |
| Patient Name | Mrs. MAYA MAJHI | Contact No | 9674423604 |
| Address | 19B A B GARDEN ALNE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||