Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  01799 Date  13/03/2019
Token No SM/18-19/2828   13/03/2019 Serial 018
Patient Name Mr. SANJAY KUMAR KOIRI Contact No8820981498
Address 79 DEY STREET Age 36 YRS  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis