Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07563 | Date 09/11/2022 |
| Token No | SM/25-26/304 28/04/2025 | Serial | 032 |
| Patient Name | Mrs. ANIMA SRIMANI | Contact No | 8336057021 |
| Address | 6 BECHU DEY LANE | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||