Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  01571 Date  15/01/2019
Token No SM/18-19/2270   15/01/2019 Serial 001
Patient Name Mr. PADMAN PRADHAN Contact No9748992097
Address 45 N L BHATTACHARJEE STREET Age 40  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis