Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09324 | Date 21/05/2025 |
| Token No | SM/25-26/2326 21/05/2025 | Serial | 007 |
| Patient Name | Mrs. PRAMILA SARKAR | Contact No | 7001197934 |
| Address | 49/O/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 73 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||