Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06822 | Date 22/05/2024 |
| Token No | SM/24-25/22241 24/05/2024 | Serial | 012 |
| Patient Name | Mrs. SUCHITRA KUMARI | Contact No | 7044238938 |
| Address | 65/25/13/A MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||