Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07577 | Date 03/08/2024 |
| Token No | SM/24-25/25999 05/08/2024 | Serial | 014 |
| Patient Name | Mrs. SWAPNA GHOSAL | Contact No | 9874879867 |
| Address | 63/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||