Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04953 | Date 25/08/2023 |
| Token No | SM/22-23/12376 26/08/2023 | Serial | 022 |
| Patient Name | Mrs. PRIYA MUKHERJEE | Contact No | 8777644071 |
| Address | 36/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||