Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08545 | Date 13/01/2025 |
| Token No | SM/24-25/34429 21/01/2025 | Serial | 003 |
| Patient Name | Mrs. SHANTI CHOWDHURY | Contact No | 9831474329 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||