Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08251 | Date 21/11/2024 |
| Token No | SM/24-25/31583 22/11/2024 | Serial | 003 |
| Patient Name | Mrs. SNEHALATA BAKSHI | Contact No | 8697333910 |
| Address | 72A/9A D N BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||