Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04266 | Date 07/04/2021 |
| Token No | SM/25-26/2494 03/11/2025 | Serial | 030 |
| Patient Name | Mrs. RINA SRIMANI | Contact No | 8981809338 |
| Address | 2/A K C BHATTACHARYA STREET | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||