Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04070 | Date 21/04/2023 |
| Token No | SM/22-23/14602 19/10/2023 | Serial | 022 |
| Patient Name | Mrs. SABITA BRAHMA | Contact No | 9681082290 |
| Address | 4/B MALPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||