Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07629 | Date 14/11/2022 |
| Token No | SM/22-23/9881 30/05/2023 | Serial | 004 |
| Patient Name | Mrs. TANUSHREE MALIK | Contact No | 7439538841 |
| Address | 37/C/2 BARA BAGAN LANE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||