Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00547 | Date 13/12/2019 |
| Token No | SM/19-20/1314 30/12/2019 | Serial | 017 |
| Patient Name | Mrs. RANU MAJUMDER | Contact No | 9836913741 |
| Address | 228 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||