Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  00974 Date  27/09/2018
Token No SM/18-19/1261   27/09/2018 Serial 001
Patient Name Mr. SURAJ DAS Contact No8240008290
Address 11 DOSTI LANE Age 23  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis