Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03248 | Date 25/11/2022 |
| Token No | SM/22-23/6158 18/01/2023 | Serial | 017 |
| Patient Name | Mrs. SOVARANI DEY | Contact No | 9432228047 |
| Address | 128/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||