Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12021 | Date 29/08/2024 |
| Token No | SM/24-25/18476 29/08/2024 | Serial | 040 |
| Patient Name | Mrs. BASANTI SEN | Contact No | NOT GIVEN |
| Address | KATAPOLE(1ST CHEKUP) | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||