Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12195 | Date 04/10/2024 |
| Token No | SM/24-25/19171 04/10/2024 | Serial | 006 |
| Patient Name | Mrs. SANDHYA DAW | Contact No | 8087514229 |
| Address | 12, J.GHAT LANE MAHESH SERAMPORE | Age | 58YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||