Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07055 | Date 20/06/2024 |
| Token No | SM/24-25/23462 21/06/2024 | Serial | 008 |
| Patient Name | Mrs. TUSI DEBNATH | Contact No | 6289304103 |
| Address | 34/B/60/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||