Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08495 | Date 02/01/2025 |
| Token No | SM/24-25/33663 04/01/2025 | Serial | 009 |
| Patient Name | Mrs. LAXMI DAS | Contact No | 8100473861 |
| Address | KATAPOL SERAMPORE 712201 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||