Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  05773 Date  02/05/2022
Token No SM/22-23/2857   02/05/2022 Serial 001
Patient Name Mrs. SONAM SHAW Contact No9883200653
Address 52 PANCHANAN TALA LANE Age 31 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis