Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06467 | Date 23/03/2024 |
| Token No | SM/25-26/5322 25/07/2025 | Serial | 004 |
| Patient Name | Mrs. MAYA GHORAI | Contact No | 9007068365 |
| Address | 102 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||