Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04278 | Date 06/06/2023 |
| Token No | SM/22-23/9352 07/06/2023 | Serial | 008 |
| Patient Name | Mrs. RANU DAS | Contact No | 9331512316 |
| Address | 43/18/B PRABASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||