Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11630 | Date 10/06/2024 |
| Token No | SM/24-25/16784 10/06/2024 | Serial | 033 |
| Patient Name | Mrs. RAUSHNI BHAGAT | Contact No | 9088534469 |
| Address | 18 NO AKRABATI LANE | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||