Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06570 | Date 16/04/2024 |
| Token No | SM/24-25/26356 09/08/2024 | Serial | 056 |
| Patient Name | Mrs. RUPALI DAS | Contact No | 9007307235 |
| Address | 49 SERAMPORE COLONY SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||