Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08665 | Date 05/02/2025 |
| Token No | SM/24-25/35227 06/02/2025 | Serial | 036 |
| Patient Name | Mrs. BELA DUTTA | Contact No | 9681567460 |
| Address | 46 PANCHU GOPAL BHADURI SARANI SERAMPORE 712201 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||