Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05358 | Date 06/10/2023 |
| Token No | SM/22-23/14052 07/10/2023 | Serial | 007 |
| Patient Name | Mrs. ALPANA BISWAS | Contact No | 8583027998 |
| Address | 48 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||