Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06096 | Date 25/01/2024 |
| Token No | SM/22-23/17755 25/01/2024 | Serial | 003 |
| Patient Name | Mrs. KAJALI DAS | Contact No | 7003822303 |
| Address | PRABASNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||