Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03850 | Date 02/03/2023 |
| Token No | SM/22-23/7259 04/03/2023 | Serial | 014 |
| Patient Name | Mrs. BINAPANI DAS | Contact No | 8240464274 |
| Address | 239 2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||