Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05027 | Date 01/09/2023 |
| Token No | SM/22-23/20117 23/03/2024 | Serial | 007 |
| Patient Name | Mrs. MITASHREE NATH | Contact No | 8013357785 |
| Address | 43/16/2 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||