Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05938 | Date 26/12/2023 |
| Token No | SM/22-23/18282 07/02/2024 | Serial | 019 |
| Patient Name | Mrs. SANDHA DAS | Contact No | 9477327260 |
| Address | 215/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 160/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||