Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03142 | Date 14/11/2022 |
| Token No | SM/22-23/8051 08/04/2023 | Serial | 014 |
| Patient Name | Miss RASMI KHATUN | Contact No | 9062273276 |
| Address | 2NO CHILEKHANA ROAD SERAMPORE 712203 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||