Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06504 | Date 01/04/2024 |
| Token No | SM/24-25/20403 02/04/2024 | Serial | 001 |
| Patient Name | Mrs. USHA ADHIKARY | Contact No | 8902649689 |
| Address | 16A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||