Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09186 | Date 28/04/2025 |
| Token No | SM/25-26/1335 29/04/2025 | Serial | 014 |
| Patient Name | Mrs. SHAHIN YASMIN | Contact No | 9062187017 |
| Address | 12/B TARAPUKUR LANE SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||