Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11183 | Date 21/02/2024 |
| Token No | SM/22-23/14904 22/02/2024 | Serial | 010 |
| Patient Name | Mrs. MAHERA BIBI | Contact No | NOT GIVEN |
| Address | TIKIA PARA, SERAMPORE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||