Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10717 | Date 02/11/2023 |
| Token No | SM/22-23/13143 02/11/2023 | Serial | 005 |
| Patient Name | Mrs. RUNU GHOSH | Contact No | 9903793988 |
| Address | MANIKTALA B G T ROAD | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||