Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03573 | Date 06/12/2019 |
| Token No | SM/22-23/5044 09/09/2022 | Serial | 025 |
| Patient Name | Mrs. RIYA DUTTA | Contact No | 9836248773 |
| Address | 537D G.T,ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||