Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08294 | Date 26/11/2024 |
| Token No | SM/24-25/31854 27/11/2024 | Serial | 003 |
| Patient Name | Mrs. RITA PRASAD | Contact No | 7044758511 |
| Address | 47/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||