Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02097 | Date 29/06/2022 |
| Token No | SM/22-23/999 30/06/2022 | Serial | 013 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 7278943099 |
| Address | 26/E/C PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||