Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05258 | Date 26/09/2023 |
| Token No | SM/22-23/13596 27/09/2023 | Serial | 003 |
| Patient Name | Mrs. MOU SARKAR | Contact No | 9088401547 |
| Address | 2 NO SERAMPORE COLONY SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||