Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05256 | Date 07/01/2022 |
| Token No | SM/22-23/5485 13/10/2022 | Serial | 029 |
| Patient Name | Mrs. SUBHRA GHOSH | Contact No | 9874197044 |
| Address | 13 S B GHOSH LANE | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||