Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04587 | Date 24/07/2023 |
| Token No | SM/22-23/12738 05/09/2023 | Serial | 011 |
| Patient Name | Mrs. MOUMITA PARAMANICK | Contact No | 8759421665 |
| Address | 231 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||