Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09458 | Date 22/06/2023 |
| Token No | SM/22-23/10620 04/07/2023 | Serial | 042 |
| Patient Name | Mr. DEBKUMAR SIMLAI | Contact No | 9432120309 |
| Address | 35/A SASHIBHUSAN GHOSH LANE | Age | 76 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||