Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05281 | Date 28/09/2023 |
| Token No | SM/22-23/13732 29/09/2023 | Serial | 029 |
| Patient Name | Mrs. BISHAKHA PASWAN BISWAS | Contact No | 6290996458 |
| Address | 34/A TARAPUKUR LANE SERAMPORE M 712203 | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||