Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10427 | Date 20/09/2023 |
| Token No | SM/22-23/12551 21/09/2023 | Serial | 001 |
| Patient Name | Mrs. SAYANTIKA GHOSH | Contact No | 6291579740 |
| Address | 516 G T ROAD MAHESH | Age | 32 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||