Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11745 | Date 04/07/2024 |
| Token No | SM/24-25/17346 04/07/2024 | Serial | 041 |
| Patient Name | Mrs. PRIYANKA GHOSH | Contact No | 9123001918 |
| Address | 69/A/3 BHAGIRATHI LANE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||