Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04517 | Date 22/06/2021 |
| Token No | SM/24-25/18059 08/08/2024 | Serial | 050 |
| Patient Name | Mrs. SUSMITA DUTTA | Contact No | 9088551918 |
| Address | MUSALMAN PARA | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||