Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07361 | Date 04/07/2024 |
| Token No | SM/24-25/24455 05/07/2024 | Serial | 005 |
| Patient Name | Mrs. SANCHITA PAL | Contact No | 8961167671 |
| Address | 22/24/1/A F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||