Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03004 | Date 31/10/2022 |
| Token No | SM/22-23/3909 01/11/2022 | Serial | 006 |
| Patient Name | Mrs. APARNA PAL | Contact No | 9007021458 |
| Address | 2/E TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||