Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00895 | Date 07/02/2020 |
| Token No | SM/22-23/6240 24/01/2023 | Serial | 009 |
| Patient Name | Mrs. CHANDANA SAHA | Contact No | 9007324732 |
| Address | 35/C SUKANTA PALLY MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||