Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03277 | Date 28/11/2022 |
| Token No | SM/24-25/21913 14/05/2024 | Serial | 015 |
| Patient Name | Miss PRIYANKA DAS | Contact No | 8910710364 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||