Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06971 | Date 11/06/2024 |
| Token No | SM/24-25/23007 11/06/2024 | Serial | 003 |
| Patient Name | Mrs. ANJUMAN NISHA | Contact No | 7044240136 |
| Address | 17E-2 TARAPUKUR LANE SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||