Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05037 | Date 02/09/2023 |
| Token No | SM/22-23/12620 02/09/2023 | Serial | 003 |
| Patient Name | Mrs. JHUMA CHONGDAR | Contact No | 9874856093 |
| Address | BAHIR SERAMPORE SERAMPORE 712201 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||