Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05621 | Date 08/11/2023 |
| Token No | SM/22-23/15310 08/11/2023 | Serial | 023 |
| Patient Name | Mrs. BHARATI CHAKRABORTY | Contact No | 9748210654 |
| Address | 43/17 PRAVASNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||