Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12619 | Date 06/02/2025 |
| Token No | SM/24-25/20905 10/02/2025 | Serial | 018 |
| Patient Name | Mrs. SHAMPA NATH | Contact No | 9051984700 |
| Address | 25 GOBINDO CHANDRA BHATTACHARYA LANE | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||