Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06017 | Date 06/01/2024 |
| Token No | SM/22-23/18687 17/02/2024 | Serial | 010 |
| Patient Name | Mrs. MADHUSHREE HALDER | Contact No | 7003966994 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||