Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02921 | Date 17/10/2022 |
| Token No | SM/22-23/3615 19/10/2022 | Serial | 009 |
| Patient Name | Mrs. LILA BISWAS DAS | Contact No | 7890723457 |
| Address | 16/J PRABASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||