Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12194 | Date 04/10/2024 |
| Token No | SM/24-25/19170 04/10/2024 | Serial | 005 |
| Patient Name | Mrs. SUSMITA DEY | Contact No | 8013913803 |
| Address | 338 MAHESH COLONY | Age | 16YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||