Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07190 | Date 11/10/2022 |
| Token No | SM/25-26/296 28/04/2025 | Serial | 024 |
| Patient Name | Mrs. BIMLA PANDEY | Contact No | 8282864059 |
| Address | CHATTERJEE LANE | Age | 69 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||