Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06398 | Date 09/03/2024 |
| Token No | SM/22-23/19693 11/03/2024 | Serial | 047 |
| Patient Name | Mrs. SHYAMALI DAS | Contact No | 9088852156 |
| Address | 27/C JANNAGAR ROAD MAHESH 1 SERAMPORE 712202 | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||