Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08544 | Date 13/01/2025 |
| Token No | SM/24-25/34138 14/01/2025 | Serial | 001 |
| Patient Name | Mrs. BULA BARUI | Contact No | 7980739403 |
| Address | 23B G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||