Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00007 | Date 06/09/2019 |
| Token No | SM/22-23/15964 30/11/2023 | Serial | 012 |
| Patient Name | Mrs. TARARANI DAS | Contact No | 9330327481 |
| Address | 10G/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 84 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||