Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03694 | Date 01/02/2023 |
| Token No | SM/24-25/22892 08/06/2024 | Serial | 011 |
| Patient Name | Mrs. SUJATA BHATTACHARYA | Contact No | 9143606788 |
| Address | 190/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||