Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01803 | Date 01/06/2022 |
| Token No | SM/22-23/9936 27/06/2023 | Serial | 008 |
| Patient Name | Mrs. SARBA SARKAR DAS | Contact No | 7439163734 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||