Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04930 | Date 24/08/2023 |
| Token No | SM/22-23/12264 24/08/2023 | Serial | 019 |
| Patient Name | Mrs. SHEPHALI PAL | Contact No | 9732672885 |
| Address | 146 G.T ROAD BOWBAZAR, BAIDYABATI(M) | Age | 83 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||