Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04124 | Date 02/05/2023 |
| Token No | SM/22-23/8595 04/05/2023 | Serial | 015 |
| Patient Name | Miss ROHINI CHAKRABORTY | Contact No | 6291179002 |
| Address | 243 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||