Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09326 | Date 21/05/2025 |
| Token No | SM/25-26/2408 22/05/2025 | Serial | 014 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 9875364931 |
| Address | 15 MALLICKPARA LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||