Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12095 | Date 12/09/2024 |
| Token No | SM/24-25/19012 25/09/2024 | Serial | 026 |
| Patient Name | Mrs. RITA MITRA | Contact No | NOT GIVEN |
| Address | 48/6 BHAGIRATHI LANE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||