Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01705 | Date 27/05/2022 |
| Token No | SM/22-23/9082 26/05/2023 | Serial | 004 |
| Patient Name | Mrs. KANAK DAS | Contact No | 9163198169 |
| Address | B-2 FL-301 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||