Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05468 | Date 18/10/2023 |
| Token No | SM/24-25/24894 12/07/2024 | Serial | 005 |
| Patient Name | Mrs. HEMA DASGUPTA | Contact No | 8584890844 |
| Address | 172/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||