Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09928 | Date 10/08/2023 |
| Token No | SM/22-23/11565 11/08/2023 | Serial | 012 |
| Patient Name | Mrs. PIYA DOLUI | Contact No | 7439340520 |
| Address | 3 RD BYE LANE S B GHOSH LANE | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||