Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06496 | Date 30/03/2024 |
| Token No | SM/22-23/20346 01/04/2024 | Serial | 001 |
| Patient Name | Mrs. MADHUMITA DEBNATH SIL | Contact No | 6289605758 |
| Address | 193/1 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||