Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06061 | Date 10/06/2022 |
| Token No | SM/22-23/3663 28/06/2022 | Serial | 040 |
| Patient Name | Mrs. SANGDIPTA DEBNATH | Contact No | 9051061815 |
| Address | 26/A AKHRA BATI LANE | Age | 27 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||