Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06937 | Date 05/06/2024 |
| Token No | SM/24-25/22725 05/06/2024 | Serial | 028 |
| Patient Name | Mrs. SNEHA PARVEEN | Contact No | 8240983951 |
| Address | 94/A MIYAJAN DARJEE LANE MALLIKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||