Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08589 | Date 21/01/2025 |
| Token No | SM/24-25/34576 22/01/2025 | Serial | 054 |
| Patient Name | Mrs. RINA PRABHA CHOWDHURY | Contact No | 9830844995 |
| Address | 36/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||