Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05819 | Date 09/12/2023 |
| Token No | SM/22-23/16280 09/12/2023 | Serial | 013 |
| Patient Name | Baby TUNUJA NAYEK | Contact No | 8272907803 |
| Address | B B GHOSH ROAD SERAMPORE M 712203 | Age | 5 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||