Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07481 | Date 19/07/2024 |
| Token No | SM/24-25/25300 22/07/2024 | Serial | 006 |
| Patient Name | Mrs. SUDHA DEVI | Contact No | 9831160701 |
| Address | 10/C HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||