Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10053 | Date 21/08/2023 |
| Token No | SM/22-23/11797 21/08/2023 | Serial | 032 |
| Patient Name | Miss SHUVOSHREE BHADURI | Contact No | 8910543593 |
| Address | 115 G T ROAD, MANIKTALA | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||