Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07099 | Date 24/06/2024 |
| Token No | SM/24-25/23666 25/06/2024 | Serial | 010 |
| Patient Name | Mrs. SANTI DAS | Contact No | 8910599864 |
| Address | 13A/3 K L GOSWAMI SARANI SERAMPORE 712201 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||