Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08408 | Date 17/12/2024 |
| Token No | SM/24-25/32900 18/12/2024 | Serial | 001 |
| Patient Name | Mrs. MAYA DEY | Contact No | 9903110908 |
| Address | 26/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||