Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08023 | Date 15/10/2024 |
| Token No | SM/24-25/29736 21/10/2024 | Serial | 043 |
| Patient Name | Mrs. SHARDA DEVI | Contact No | 9339579565 |
| Address | 14/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 85 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||