Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06371 | Date 02/03/2024 |
| Token No | SM/24-25/25782 31/07/2024 | Serial | 004 |
| Patient Name | Mrs. MAYA BISWAS | Contact No | 9163599053 |
| Address | TALPUKUR DAKSHIN RAJYADHARPUR LOKNATH PALLY SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||