Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02600 | Date 01/09/2022 |
| Token No | SM/22-23/17055 30/12/2023 | Serial | 007 |
| Patient Name | Mrs. JOYDEB BANIK | Contact No | 8335977022 |
| Address | 24/D TARAPUKUR LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||