Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03710 | Date 03/02/2023 |
| Token No | SM/24-25/21084 24/04/2024 | Serial | 012 |
| Patient Name | Mrs. MANJU DUTTA | Contact No | 9088233017 |
| Address | 65/25/19/C WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||