Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04826 | Date 14/08/2023 |
| Token No | SM/22-23/11899 16/08/2023 | Serial | 041 |
| Patient Name | Mrs. REBA SAHA | Contact No | 8336848967 |
| Address | 1/A/1 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||