Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01733 | Date 28/05/2022 |
| Token No | SM/24-25/23397 20/06/2024 | Serial | 025 |
| Patient Name | Mrs. RUPA SAHA | Contact No | 9804445877 |
| Address | 30/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||