Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04401 | Date 30/06/2023 |
| Token No | SM/22-23/10027 01/07/2023 | Serial | 001 |
| Patient Name | Mrs. SHILU CHAKRABORTY | Contact No | 9088430844 |
| Address | 47 SERAMPORE COLONY SERAMPORE M 712203 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||