Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06035 | Date 08/06/2022 |
| Token No | SM/22-23/5886 28/10/2022 | Serial | 037 |
| Patient Name | Mrs. ANJALI CHAKRABORTI.... | Contact No | NOT GIVEN |
| Address | 30/34 TARAPUKUR LANE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||