Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06823 | Date 22/05/2024 |
| Token No | SM/24-25/25001 16/07/2024 | Serial | 002 |
| Patient Name | Mrs. MAIRUM KHATUN | Contact No | 9903706031 |
| Address | 18/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||