Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07020 | Date 15/06/2024 |
| Token No | SM/24-25/29450 15/10/2024 | Serial | 004 |
| Patient Name | Mrs. SARADA JARIWALA BANIK | Contact No | 7003619631 |
| Address | 34/B/64 SUKANTA PALLY SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||