Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05361 | Date 07/10/2023 |
| Token No | SM/22-23/20225 28/03/2024 | Serial | 003 |
| Patient Name | Mrs. KALPANA SARKAR | Contact No | 7439393405 |
| Address | GHORAMARA P MALLIKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/90 mmHg | Weight | 97 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||