Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05990 | Date 03/01/2024 |
| Token No | SM/22-23/17177 04/01/2024 | Serial | 010 |
| Patient Name | Mrs. SUSMITA JANA | Contact No | 6289349318 |
| Address | 190 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||