Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12368 | Date 21/11/2024 |
| Token No | SM/24-25/19821 21/11/2024 | Serial | 016 |
| Patient Name | Mrs. RIYA SAHA | Contact No | 9674877176 |
| Address | 534/1/A G T ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||