Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08236 | Date 20/11/2024 |
| Token No | SM/24-25/31525 21/11/2024 | Serial | 016 |
| Patient Name | Mrs. JAYA BHOWMICK | Contact No | 9674461653 |
| Address | 30/I TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||