Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02894 | Date 26/08/2019 |
| Token No | SM/25-26/2638 17/11/2025 | Serial | 002 |
| Patient Name | Mrs. MINA CHATTERJEE | Contact No | 9432087969 |
| Address | 4 RUDRA RAM PANDIT LANE | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||