Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08126 | Date 29/10/2024 |
| Token No | SM/24-25/30350 30/10/2024 | Serial | 008 |
| Patient Name | Mrs. DIPALI ADHIKARY | Contact No | 8420537790 |
| Address | 61 1 NO NETAJI NAGAR COLONY TRIBENI CHINSURAH MAGRA 712503 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||