Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09918 | Date 09/08/2023 |
| Token No | SM/22-23/11494 09/08/2023 | Serial | 012 |
| Patient Name | Mrs. ANKITA CHOWDHURY.... | Contact No | 9920761547 |
| Address | 63/C BHAGIRATHI LANE | Age | 26 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||