Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03734 | Date 09/02/2023 |
| Token No | SM/22-23/9123 27/05/2023 | Serial | 010 |
| Patient Name | Mrs. DIPA BHATTACHARJEE | Contact No | 6290573598 |
| Address | 22/24/5 F.D ROAD SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||