Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08030 | Date 17/10/2024 |
| Token No | SM/25-26/3336 11/06/2025 | Serial | 053 |
| Patient Name | Mrs. NILIMA PAUL | Contact No | 8100051171 |
| Address | 6/E LENIN SARANI SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||