Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07782 | Date 30/08/2024 |
| Token No | SM/24-25/27635 04/09/2024 | Serial | 018 |
| Patient Name | Mrs. DIPTI HALDER | Contact No | 9330930782 |
| Address | 61/3 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||