Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07744 | Date 24/08/2024 |
| Token No | SM/25-26/1995 14/05/2025 | Serial | 042 |
| Patient Name | Mrs. REBA DUTTA | Contact No | 9903933326 |
| Address | 22/G TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||