Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08132 | Date 30/10/2024 |
| Token No | SM/24-25/30453 01/11/2024 | Serial | 003 |
| Patient Name | Mrs. SHILPA BHUIYA | Contact No | 7003996458 |
| Address | D N BHATTACHARYA SARANI MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||