Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09572 | Date 07/07/2023 |
| Token No | SM/25-26/1010 26/06/2025 | Serial | 030 |
| Patient Name | Mrs. SHANKARI DAS | Contact No | 9433021784 |
| Address | 46A BANERJEE PARA, SERAMPORE | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||