Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12031 | Date 30/08/2024 |
| Token No | SM/24-25/18545 02/09/2024 | Serial | 026 |
| Patient Name | Mrs. PROTIVA DAS | Contact No | 9163786670 |
| Address | 41 KALIDAS BHATTACHARJEE LANE | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||