Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06402 | Date 11/03/2024 |
| Token No | SM/22-23/19750 13/03/2024 | Serial | 005 |
| Patient Name | Mrs. DIPA DEY | Contact No | 9378081271 |
| Address | 118 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||