Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01723 | Date 27/05/2022 |
| Token No | SM/22-23/200 28/05/2022 | Serial | 004 |
| Patient Name | Mrs. PUJA ROY | Contact No | 9933126474 |
| Address | 229 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||