Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06377 | Date 05/03/2024 |
| Token No | SM/22-23/19462 06/03/2024 | Serial | 006 |
| Patient Name | Mrs. KALYANI PAL | Contact No | 7059632768 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||