Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07285 | Date 01/07/2024 |
| Token No | SM/24-25/33601 03/01/2025 | Serial | 004 |
| Patient Name | Mrs. SABITA DAS | Contact No | 8910373862 |
| Address | 125/A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 68 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||