Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08758 | Date 20/02/2025 |
| Token No | SM/24-25/37557 28/03/2025 | Serial | 003 |
| Patient Name | Mrs. ARUNA BANERJEE SEN | Contact No | 8697847972 |
| Address | 5NO COLONY DAKSHIN RAJYADHARPUR MALLICKPARA 712203 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||