Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11149 | Date 19/02/2024 |
| Token No | SM/22-23/14788 19/02/2024 | Serial | 017 |
| Patient Name | Mrs. SHRIPATI DEVI | Contact No | NOT GIVEN |
| Address | Age | 60 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||