Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04492 | Date 12/07/2023 |
| Token No | SM/22-23/10559 15/07/2023 | Serial | 006 |
| Patient Name | Miss BEAUTY GOSWAMI | Contact No | 9330252373 |
| Address | 10/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||