Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06330 | Date 22/02/2024 |
| Token No | SM/24-25/27352 29/08/2024 | Serial | 044 |
| Patient Name | Mrs. MAHAMAYA HALDER | Contact No | 8336005870 |
| Address | 30/39 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||