Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08526 | Date 10/01/2025 |
| Token No | SM/24-25/34141 14/01/2025 | Serial | 004 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 8017660305 |
| Address | 241/A 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||