Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06088 | Date 22/01/2024 |
| Token No | SM/24-25/23667 25/06/2024 | Serial | 011 |
| Patient Name | Mrs. MANISHA SUR | Contact No | 9875557426 |
| Address | 75/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||