Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09286 | Date 14/05/2025 |
| Token No | SM/25-26/2027 14/05/2025 | Serial | 074 |
| Patient Name | Mrs. JAMUNA PAKHIRA | Contact No | 9239147558 |
| Address | 1 NO BLC ROAD SERAMPORE | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||