Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06748 | Date 09/05/2024 |
| Token No | SM/24-25/26965 21/08/2024 | Serial | 067 |
| Patient Name | Mrs. JYOTSNA DEBNATH | Contact No | 9874887637 |
| Address | 57/A NEW MAHESH SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||