Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07862 | Date 01/12/2022 |
| Token No | SM/22-23/6755 01/12/2022 | Serial | 009 |
| Patient Name | Mr. BISKESHAN MALLICK | Contact No | 8330473862 |
| Address | 12 PITAMBAR DEY LANE | Age | 15 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||