Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08304 | Date 27/11/2024 |
| Token No | SM/24-25/31938 28/11/2024 | Serial | 015 |
| Patient Name | Mrs. SIKHA MAJUMDER | Contact No | 6289735448 |
| Address | 65/25/37 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||