Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04717 | Date 04/08/2023 |
| Token No | SM/22-23/11547 09/08/2023 | Serial | 005 |
| Patient Name | Mrs. SHRADHANITA CHANDA | Contact No | 8777653319 |
| Address | D/161/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||