Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07726 | Date 22/08/2024 |
| Token No | SM/25-26/5843 05/08/2025 | Serial | 009 |
| Patient Name | Mrs. ARATI CHAKRABORTY | Contact No | 9007684208 |
| Address | 207/2 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 135/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||