Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08137 | Date 30/10/2024 |
| Token No | SM/24-25/30542 04/11/2024 | Serial | 003 |
| Patient Name | Mrs. SANDHYA GOSWAMI | Contact No | 9232363908 |
| Address | 13 SERAMPORE COLONY SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||