Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05599 | Date 06/11/2023 |
| Token No | SM/22-23/15232 07/11/2023 | Serial | 006 |
| Patient Name | Miss ANISHA DUTTA | Contact No | 9836037045 |
| Address | 93/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||