Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04411 | Date 03/07/2023 |
| Token No | SM/22-23/17975 31/01/2024 | Serial | 016 |
| Patient Name | Mrs. RIYASHA SARKAR KOYAL | Contact No | 9330446890 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||