Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06854 | Date 24/05/2024 |
| Token No | SM/24-25/22287 25/05/2024 | Serial | 003 |
| Patient Name | Mrs. MOUSUMI HALDER | Contact No | 7980023642 |
| Address | GHORAMARA RAJYADHARPUR SERAMPORE MALLICKPARA 712203 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||