Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03791 | Date 17/02/2023 |
| Token No | SM/22-23/6897 17/02/2023 | Serial | 009 |
| Patient Name | Mrs. RONITA DAS | Contact No | 6290484446 |
| Address | 65/7/8 GURUGARDEN ROAD SERAMPORE 712249 | Age | 06 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||