Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11960 | Date 14/08/2024 |
| Token No | SM/24-25/18175 14/08/2024 | Serial | 010 |
| Patient Name | Mrs. RIYA SAHA | Contact No | 8820908412 |
| Address | 534/1/A G.T. ROAD, SERAMPORE | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||