Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05590 | Date 25/03/2022 |
| Token No | SM/21-22/2526 25/03/2022 | Serial | 007 |
| Patient Name | Mrs. SIKHA KARMAKAR.. | Contact No | 9331926312 |
| Address | DHULIPARA | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||