Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03168 | Date 17/11/2022 |
| Token No | SM/22-23/5058 07/12/2022 | Serial | 010 |
| Patient Name | Mrs. ANJU BHOWMICK | Contact No | 9804275784 |
| Address | 25 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||