Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06051 | Date 11/01/2024 |
| Token No | SM/22-23/17431 13/01/2024 | Serial | 003 |
| Patient Name | Mrs. INDRANI DAS | Contact No | 8478091883 |
| Address | 35/A B B GHOSH ROAD SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||