Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11518 | Date 13/05/2024 |
| Token No | SM/24-25/16205 13/05/2024 | Serial | 011 |
| Patient Name | Miss ANKITA GHOSH | Contact No | 9674877176 |
| Address | 534/1/A G.T. ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||