Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02740 | Date 21/09/2022 |
| Token No | SM/22-23/2907 21/09/2022 | Serial | 027 |
| Patient Name | Mrs. LATIKA HALDER | Contact No | 7890046988 |
| Address | 65/25/10/B PRABASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||