Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05218 | Date 22/09/2023 |
| Token No | SM/22-23/13475 23/09/2023 | Serial | 050 |
| Patient Name | Mrs. SARAMA PATRA | Contact No | 8274881374 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||