Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07654 | Date 12/08/2024 |
| Token No | SM/24-25/26542 13/08/2024 | Serial | 002 |
| Patient Name | Mrs. CHAYNA DAS | Contact No | 9874133474 |
| Address | NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||