Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12196 | Date 04/10/2024 |
| Token No | SM/24-25/19173 04/10/2024 | Serial | 008 |
| Patient Name | Mrs. MOUSUMI DAS. | Contact No | 8240183022 |
| Address | 12A/1 BANGA LAKKHI BYE LANE.... | Age | 48 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||