Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03281 | Date 29/11/2022 |
| Token No | SM/22-23/4869 30/11/2022 | Serial | 004 |
| Patient Name | Mrs. SOMA SIL | Contact No | 7890056117 |
| Address | 2/30 SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||