Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07871 | Date 09/09/2024 |
| Token No | SM/24-25/28045 11/09/2024 | Serial | 001 |
| Patient Name | Mrs. KEYA MALIK | Contact No | 7439534847 |
| Address | 5 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||