Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08338 | Date 03/12/2024 |
| Token No | SM/24-25/32469 09/12/2024 | Serial | 011 |
| Patient Name | Mrs. RAMA CHAKRABORTY | Contact No | 6291578016 |
| Address | 28/B/3 TARA PUKUR LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||