Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02629 | Date 05/09/2022 |
| Token No | SM/22-23/2502 06/09/2022 | Serial | 001 |
| Patient Name | Mrs. SABITA BHUIYA | Contact No | 7595053741 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||