Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05093 | Date 08/09/2023 |
| Token No | SM/25-26/20641 27/08/2026 | Serial | 006 |
| Patient Name | Mrs. MUKTI DOLUI | Contact No | 8276099150 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 63 Years,7 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||