Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02840 | Date 19/08/2019 |
| Token No | SM/22-23/14474 29/01/2024 | Serial | 043 |
| Patient Name | Mr. INDRAJIT KOLEY | Contact No | 8420352558 |
| Address | 23/A/1 PANCHANAN TALA LANE | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||