Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  01658 Date  14/02/2019
Token No SM/18-19/2752   09/03/2019 Serial 001
Patient Name Mr. SAJAL NANDI Contact No8420456425
Address 27 CHOWDHURY PARA Age 46 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis