Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08414 | Date 21/02/2023 |
| Token No | SM/22-23/8411 20/03/2023 | Serial | 026 |
| Patient Name | Mrs. RUPA DUTTA | Contact No | 6290723309 |
| Address | 79E N.N. ROY STREET, SERAMPORE | Age | 38 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||