Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11244 | Date 06/03/2024 |
| Token No | SM/22-23/15137 07/03/2024 | Serial | 024 |
| Patient Name | Mrs. LALTI DEBI | Contact No | 7449506024 |
| Address | 122 R.B. SARANI | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||