Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  01329 Date  04/12/2018
Token No SM/18-19/1865   04/12/2018 Serial 001
Patient Name Mr. NAWAL ROY Contact No8013280906
Address INDIA JUTE MILL Age 32  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis