Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07519 | Date 24/07/2024 |
| Token No | SM/24-25/25500 25/07/2024 | Serial | 012 |
| Patient Name | Mrs. ANJALI NISHAD DAS | Contact No | 8303229475 |
| Address | 30/J/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||