Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  01535 Date  28/12/2018
Token No SM/18-19/2178   28/12/2018 Serial 018
Patient Name Mr. SARBRI DEY Contact No9339622532
Address DEY STREET Age 78  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis