Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12240 | Date 18/10/2024 |
| Token No | SM/24-25/19324 18/10/2024 | Serial | 002 |
| Patient Name | Mrs. SIPRA SHIL | Contact No | 9432322600 |
| Address | 3/222 MAHESH COLONY SERAMPORE | Age | 77 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||