Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07161 | Date 27/06/2024 |
| Token No | SM/24-25/27443 31/08/2024 | Serial | 031 |
| Patient Name | Mrs. GAYETRI DEVI | Contact No | 7449346694 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||