Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09937 | Date 10/08/2023 |
| Token No | SM/22-23/11583 11/08/2023 | Serial | 030 |
| Patient Name | Mrs. RITA DUTTA | Contact No | 9051882846 |
| Address | 3/A BRAJA DUTTA LANE | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||