Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07794 | Date 02/09/2024 |
| Token No | SM/24-25/27551 03/09/2024 | Serial | 003 |
| Patient Name | Mrs. GANGA DAS | Contact No | 8276049455 |
| Address | 16A/1 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 | |||