Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04308 | Date 12/06/2023 |
| Token No | SM/22-23/9488 12/06/2023 | Serial | 007 |
| Patient Name | Mrs. RADHA DEVI | Contact No | 9903561733 |
| Address | 30/54/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||