Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04981 | Date 28/08/2023 |
| Token No | SM/22-23/13094 14/09/2023 | Serial | 002 |
| Patient Name | Mrs. DOLA NANDY | Contact No | 8481842521 |
| Address | 50/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||