Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04017 | Date 06/04/2023 |
| Token No | SM/22-23/8247 17/04/2023 | Serial | 028 |
| Patient Name | Mrs. NITU DEVI | Contact No | 8240498570 |
| Address | 65/25/26 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||