Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08298 | Date 27/11/2024 |
| Token No | SM/24-25/31933 28/11/2024 | Serial | 010 |
| Patient Name | Mrs. RINA PAL | Contact No | 9073596289 |
| Address | 65/25/33 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||