Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11792 | Date 15/07/2024 |
| Token No | SM/25-26/2534 06/11/2025 | Serial | 013 |
| Patient Name | Mrs. PADMA SADHUKHAN | Contact No | 8336043541 |
| Address | BANERJEE PARA | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||