Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04972 | Date 28/08/2023 |
| Token No | SM/22-23/12467 29/08/2023 | Serial | 002 |
| Patient Name | Mrs. KALPANA PAL | Contact No | 8697610525 |
| Address | 65/19 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 180/90 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||