Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  02615 Date  26/07/2019
Token No SM/18-19/5124   26/07/2019 Serial 003
Patient Name Mr. RAMA SUNDAR KOIRI Contact No7003698525
Address PAL BAGAN Age 66 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis