Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08119 | Date 28/10/2024 |
| Token No | SM/24-25/30286 29/10/2024 | Serial | 007 |
| Patient Name | Mrs. SUTAPA BAG | Contact No | 9123373241 |
| Address | 32/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||