Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  01348 Date  07/12/2018
Token No SM/18-19/1905   07/12/2018 Serial 004
Patient Name Mr. SANJAY APOT Contact No8582884955
Address DEY STREET Age 36 YRS  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis