Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03006 | Date 31/10/2022 |
| Token No | SM/24-25/25561 26/07/2024 | Serial | 002 |
| Patient Name | Mrs. RUPA DASGUPTA | Contact No | 9674395835 |
| Address | 12/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||