Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01814 | Date 03/06/2022 |
| Token No | SM/22-23/384 07/06/2022 | Serial | 003 |
| Patient Name | Mrs. MALA MAZUMDER | Contact No | 9432708083 |
| Address | 93Y B BLOCK TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||