Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05658 | Date 14/11/2023 |
| Token No | SM/22-23/15505 14/11/2023 | Serial | 025 |
| Patient Name | Mrs. JOGMAYA KARMAR | Contact No | 8240781008 |
| Address | KALITALA SERAMPORE 712201 | Age | 74 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||