Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08646 | Date 31/01/2025 |
| Token No | SM/24-25/35013 01/02/2025 | Serial | 003 |
| Patient Name | Mrs. KHAMA DAS | Contact No | 8478809877 |
| Address | D/141/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||