Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03619 | Date 19/01/2023 |
| Token No | SM/22-23/6191 20/01/2023 | Serial | 014 |
| Patient Name | Mrs. SUPRIYA SAHA | Contact No | 7980921508 |
| Address | 150/B 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||