Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06951 | Date 06/06/2024 |
| Token No | SM/24-25/22829 07/06/2024 | Serial | 005 |
| Patient Name | Mrs. NIRMALA SAH | Contact No | 7003957815 |
| Address | 30/2 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | 151CM cm |
| Diagnosis | |||