Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00908 | Date 08/02/2020 |
| Token No | SM/22-23/17571 18/01/2024 | Serial | 007 |
| Patient Name | Mrs. SUNAYANA ROY | Contact No | 7001815740 |
| Address | 34/B/54/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||