Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08284 | Date 25/11/2024 |
| Token No | SM/24-25/31786 26/11/2024 | Serial | 002 |
| Patient Name | Mrs. MOUSUMI CHATTERJEE | Contact No | 7980777089 |
| Address | A/35/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||