Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05035 | Date 01/09/2023 |
| Token No | SM/22-23/12654 04/09/2023 | Serial | 004 |
| Patient Name | Mrs. SUMITA BHOWMIK | Contact No | 8013357785 |
| Address | 43/16/2 PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||