Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06339 | Date 23/02/2024 |
| Token No | SM/22-23/18951 23/02/2024 | Serial | 006 |
| Patient Name | Mrs. PUSPA SANYAL | Contact No | 8536024512 |
| Address | 72A/1 PRAVASNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||