Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05362 | Date 07/10/2023 |
| Token No | SM/22-23/14084 09/10/2023 | Serial | 004 |
| Patient Name | Mrs. MANGALA MAJUMDER | Contact No | 9681966462 |
| Address | 65/25/37 GURUGARDEN ROAD SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||