Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07354 | Date 03/07/2024 |
| Token No | SM/24-25/25074 18/07/2024 | Serial | 028 |
| Patient Name | Mrs. BIJOLI LAHA | Contact No | 8420180579 |
| Address | 6 S C SASTRI STREET MAHESH SERAMPORE 712201 | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||