Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02857 | Date 10/10/2022 |
| Token No | SM/22-23/3303 10/10/2022 | Serial | 014 |
| Patient Name | Mrs. SOMA PAUL | Contact No | 8777864407 |
| Address | 30/75 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||