Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06144 | Date 01/02/2024 |
| Token No | SM/22-23/18058 02/02/2024 | Serial | 002 |
| Patient Name | Mrs. SUNDARI BIBI | Contact No | 9330502649 |
| Address | 24/A TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||