Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07130 | Date 25/06/2024 |
| Token No | SM/24-25/23731 26/06/2024 | Serial | 007 |
| Patient Name | Mrs. RINA DAS | Contact No | 6290258199 |
| Address | 37 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||