Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02945 | Date 20/10/2022 |
| Token No | SM/24-25/20521 04/04/2024 | Serial | 006 |
| Patient Name | Mrs. MALATI DEVI | Contact No | 9123638355 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 135/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||