Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06695 | Date 03/05/2024 |
| Token No | SM/24-25/27991 10/09/2024 | Serial | 007 |
| Patient Name | Mrs. KIRAN DUTTA | Contact No | 8478980229 |
| Address | 38/B MALLIKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||