Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04874 | Date 19/08/2023 |
| Token No | SM/22-23/12069 21/08/2023 | Serial | 005 |
| Patient Name | Mrs. APARNA GIRI | Contact No | 7450876680 |
| Address | 35/F TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||