Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07951 | Date 26/09/2024 |
| Token No | SM/24-25/28777 26/09/2024 | Serial | 032 |
| Patient Name | Mrs. KANAK JANA | Contact No | 9143358135 |
| Address | 1/B NAKU BHATTACHARYA LANE SERAMPORE 712201 | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||