Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02425 | Date 10/08/2022 |
| Token No | SM/22-23/1978 11/08/2022 | Serial | 015 |
| Patient Name | Mrs. JAYA DAS | Contact No | 9339646172 |
| Address | 66/P/1 ANISH MOHAN ROY CHOWDHURY SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||