Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06115 | Date 29/01/2024 |
| Token No | SM/24-25/30879 11/11/2024 | Serial | 024 |
| Patient Name | Mrs. DEBIKA ADHIKARI | Contact No | 8250455802 |
| Address | 30/31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||