Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04558 | Date 20/07/2023 |
| Token No | SM/22-23/10796 22/07/2023 | Serial | 008 |
| Patient Name | Mrs. JHARNA NANDI | Contact No | 8902154266 |
| Address | 47/A PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||