Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05448 | Date 17/10/2023 |
| Token No | SM/22-23/14689 23/10/2023 | Serial | 003 |
| Patient Name | Mrs. SONALI KARMAKAR | Contact No | 8777283949 |
| Address | 5/2 HARIPARA LANE SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||