Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04708 | Date 04/08/2023 |
| Token No | SM/22-23/11433 07/08/2023 | Serial | 001 |
| Patient Name | Mrs. PRATIMA KAR | Contact No | 9330636019 |
| Address | 48/F PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||