Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 12178 | Date 30/09/2024 |
| Token No | SM/24-25/19124 30/09/2024 | Serial | 048 |
| Patient Name | Mrs. CHANDNI RAI | Contact No | 7044264004 |
| Address | 6/32 BP 1ST LANE | Age | 34 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||