Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  02492 Date  18/07/2019
Token No SM/18-19/4836   18/07/2019 Serial 014
Patient Name Mr. SHYAMAL KUMAR MUKHERJEE Contact No9836730023
Address 87 DEY STREET Age 59  Male
Token For Medicine,Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis