Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05553 | Date 01/11/2023 |
| Token No | SM/22-23/16424 13/12/2023 | Serial | 003 |
| Patient Name | Mrs. TULU PAL | Contact No | 9163794529 |
| Address | 22/B/2/I SERAMPORE MALLICKPARA 712203 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||