Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11368 | Date 03/04/2024 |
| Token No | SM/24-25/15611 03/04/2024 | Serial | 037 |
| Patient Name | Mrs. SUDESHNA MONDAL | Contact No | 9547373859 |
| Address | 29 JN LAHIRI ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||