Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02063 | Date 27/06/2022 |
| Token No | SM/24-25/25002 16/07/2024 | Serial | 003 |
| Patient Name | Mrs. ARCHANA MUKHERJEE | Contact No | 9163923681 |
| Address | 36/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/68 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||