Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07482 | Date 19/07/2024 |
| Token No | SM/24-25/25239 20/07/2024 | Serial | 005 |
| Patient Name | Mrs. SONA DEBI SHAW | Contact No | 9073554175 |
| Address | 66/D/16 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||