Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10739 | Date 06/11/2023 |
| Token No | SM/22-23/13243 08/11/2023 | Serial | 021 |
| Patient Name | Mrs. PINKI SARKAR | Contact No | 8910649818 |
| Address | 32 BARAL BAGAN | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||