Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06465 | Date 22/03/2024 |
| Token No | SM/24-25/29040 04/10/2024 | Serial | 003 |
| Patient Name | Mrs. HEMA GHORAI | Contact No | 9123805803 |
| Address | 102 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||