Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06753 | Date 10/05/2024 |
| Token No | SM/24-25/21906 14/05/2024 | Serial | 008 |
| Patient Name | Mrs. PAYEL GOPE | Contact No | 9088529248 |
| Address | 168 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||