Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06998 | Date 14/06/2024 |
| Token No | SM/24-25/30932 12/11/2024 | Serial | 004 |
| Patient Name | Mrs. BABY SHARMA RANA | Contact No | 9038046517 |
| Address | 45/6 G T ROAD MALLICKPARA SERAMPORE M 712203 | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||