Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02047 | Date 10/05/2019 |
| Token No | SM/21-22/2367 08/03/2022 | Serial | 033 |
| Patient Name | Mrs. SONALI CHATTERJEE. | Contact No | 9874335083 |
| Address | NALIKUL | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||