Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08477 | Date 28/12/2024 |
| Token No | SM/24-25/33406 30/12/2024 | Serial | 004 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | 9163000158 |
| Address | BIBIRBER GHORAMARA MALLICKPARA 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||