Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01196 | Date 16/03/2020 |
| Token No | SM/19-20/3240 18/03/2020 | Serial | 042 |
| Patient Name | Mrs. NITU ROY | Contact No | 6291714149 |
| Address | 5/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||