Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 10260 | Date 02/12/2025 |
| Token No | SM/25-26/11349 02/12/2025 | Serial | 011 |
| Patient Name | Mrs. SUMITA SARKAR | Contact No | 7003792914 |
| Address | 1/ A/ 2/T RAILAND CIRCULAR ROAD 712202 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||