Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09865 | Date 01/09/2025 |
| Token No | SM/25-26/7309 02/09/2025 | Serial | 024 |
| Patient Name | Mrs. GITA BHUIYA | Contact No | 8961118449 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||