Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10952 | Date 13/12/2023 |
| Token No | SM/22-23/13808 14/12/2023 | Serial | 039 |
| Patient Name | Mrs. PUJA GHOSH | Contact No | 8910780615 |
| Address | 75 NEHERU NAGAR COLONY | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||