Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07917 | Date 09/12/2022 |
| Token No | SM/22-23/6904 09/12/2022 | Serial | 007 |
| Patient Name | Mr. RAHUL KOLEY | Contact No | 6290943202 |
| Address | 15 GOBINDO CHANDRA BHATTACHARYA LANE | Age | 26 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||