Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08432 | Date 21/12/2024 |
| Token No | SM/24-25/33112 23/12/2024 | Serial | 014 |
| Patient Name | Mrs. MAMPI MONDAL | Contact No | 9903378510 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||