Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03127 | Date 11/11/2022 |
| Token No | SM/22-23/10628 18/07/2023 | Serial | 013 |
| Patient Name | Mrs. NUPUR DAS | Contact No | 8420333103 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||