Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02533 | Date 24/08/2022 |
| Token No | SM/22-23/6051 13/01/2023 | Serial | 004 |
| Patient Name | Mrs. ASHIMA DHARA | Contact No | 9330825257 |
| Address | 100 NEW MAHESH SERAMPORE 712249 | Age | 52 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||