Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07440 | Date 13/07/2024 |
| Token No | SM/24-25/25059 18/07/2024 | Serial | 013 |
| Patient Name | Mrs. SHIBANI AICH | Contact No | 9339711984 |
| Address | 65/7/2 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||