Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08288 | Date 25/11/2024 |
| Token No | SM/24-25/31788 26/11/2024 | Serial | 004 |
| Patient Name | Mrs. KAJAL BHUIYA | Contact No | 9674100392 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||