Ticket for Outdoor Patient
Ward No.  11 U-PHC No.   Registration No.  01496 Date  21/12/2018
Token No SM/18-19/2118   21/12/2018 Serial 005
Patient Name Mr. PRATAP SANKAR DAS Contact No7998762455
Address 18 R B SARANI Age 61  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis