Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 03088 | Date 09/11/2022 |
| Token No | SM/22-23/5957 06/01/2023 | Serial | 006 |
| Patient Name | Mrs. PRIYA SAHA | Contact No | 8910771179 |
| Address | 37/M JANNAGAR ROAD SERAMPORE 712202 | Age | 27 Year Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||