Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06953 | Date 07/06/2024 |
| Token No | SM/24-25/22833 07/06/2024 | Serial | 009 |
| Patient Name | Mrs. MIRA CHAKRABORTY | Contact No | 9432572144 |
| Address | 2/135 MAHESH COLONY SERAMPORE 712202 | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||