Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06970 | Date 10/06/2024 |
| Token No | SM/24-25/23126 13/06/2024 | Serial | 041 |
| Patient Name | Mrs. JUTHIKA RAM | Contact No | 8272907661 |
| Address | 8 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||