Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02733 | Date 20/09/2022 |
| Token No | SM/24-25/24309 03/07/2024 | Serial | 030 |
| Patient Name | Mrs. SABITARANI DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||