Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01786 | Date 01/06/2022 |
| Token No | SM/22-23/1588 26/07/2022 | Serial | 042 |
| Patient Name | Mrs. ANJALI BISWAS | Contact No | 8910167667 |
| Address | 239 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||