Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04190 | Date 17/05/2023 |
| Token No | SM/22-23/16273 09/12/2023 | Serial | 006 |
| Patient Name | Mrs. SONIYA BHUIYA SOUMI | Contact No | 7595934265 |
| Address | BLOCK C B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||