Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04252 | Date 30/05/2023 |
| Token No | SM/22-23/9184 30/05/2023 | Serial | 003 |
| Patient Name | Mrs. BINDU DUBEY | Contact No | 7980888128 |
| Address | 66/B GURUGARDEN ROAD SERAMPORE M 712249 | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||