Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01482 | Date 25/04/2020 |
| Token No | SM/22-23/8050 08/04/2023 | Serial | 013 |
| Patient Name | Mrs. PUTUL SARDAR | Contact No | 9038811778 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||