Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02996 | Date 29/10/2022 |
| Token No | SM/22-23/13885 04/10/2023 | Serial | 002 |
| Patient Name | Mrs. SANGITA GHORUI | Contact No | 7044492171 |
| Address | 38/D B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||