Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02650 | Date 07/09/2022 |
| Token No | SM/25-26/22658 26/10/2026 | Serial | 048 |
| Patient Name | Mrs. SNEHALATA BALMIKI | Contact No | 9748920938 |
| Address | A-35/Y TARAPUKUR QUARTER SERAMPORE 712203 | Age | 40 Years,8 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||