Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09902 | Date 08/08/2023 |
| Token No | SM/22-23/11507 09/08/2023 | Serial | 025 |
| Patient Name | Mrs. NILA DEBNATH | Contact No | 8902090922 |
| Address | 105B N N COLONY | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||