Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07480 | Date 19/07/2024 |
| Token No | SM/24-25/25161 19/07/2024 | Serial | 016 |
| Patient Name | Mrs. SARBANI ACHARYA | Contact No | 7278147212 |
| Address | 32/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||