Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04554 | Date 20/07/2023 |
| Token No | SM/22-23/10803 22/07/2023 | Serial | 015 |
| Patient Name | Mrs. MAYA RAY | Contact No | 8276879103 |
| Address | 123/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||