Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04167 | Date 12/05/2023 |
| Token No | SM/22-23/8759 12/05/2023 | Serial | 006 |
| Patient Name | Mrs. ARCHANA ROY | Contact No | 7605848256 |
| Address | 123 RAJYADHARPUR GOVT COLONY MALLIKPARA SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||