Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01689 | Date 25/05/2022 |
| Token No | SM/22-23/135 25/05/2022 | Serial | 047 |
| Patient Name | Mrs. LALITA DAS | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||