Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11473 | Date 03/05/2024 |
| Token No | SM/24-25/16090 06/05/2024 | Serial | 031 |
| Patient Name | Mrs. SOMA GHOSH | Contact No | 7439091080 |
| Address | WILLUM CAREY ROAD, SERAMPORE | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||