Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 08745 | Date 17/02/2025 |
| Token No | SM/24-25/35800 18/02/2025 | Serial | 002 |
| Patient Name | Mrs. JONAKI MAZUMDER | Contact No | 7439919466 |
| Address | DINEMARDANGA CHANDANNAGAR GONDALPARA 712137 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||