Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02421 | Date 10/08/2022 |
| Token No | SM/22-23/17518 17/01/2024 | Serial | 003 |
| Patient Name | Mrs. SRABANI DEY | Contact No | 892677886 |
| Address | 30/13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||