Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06321 | Date 20/02/2024 |
| Token No | SM/22-23/18855 21/02/2024 | Serial | 005 |
| Patient Name | Mrs. PUSPA DEVI | Contact No | 8981624236 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||