Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04296 | Date 19/04/2021 |
| Token No | SM/22-23/11621 14/08/2023 | Serial | 031 |
| Patient Name | Mrs. APARNA MUKHERJEE | Contact No | 6290500452 |
| Address | 57/47 S P MUKHERJEE SARANI | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||