Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03269 | Date 28/11/2022 |
| Token No | SM/22-23/4801 28/11/2022 | Serial | 016 |
| Patient Name | Mrs. KANA SEN | Contact No | 8013061779 |
| Address | 48/G GURUGARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||