Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04740 | Date 07/08/2023 |
| Token No | SM/22-23/11470 07/08/2023 | Serial | 038 |
| Patient Name | Mrs. LABANI SADHUKHAN | Contact No | 8981422974 |
| Address | 32/35 KHAS BAGAN LANE BAIDYABATI M | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||