Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  02782 Date  09/08/2019
Token No SM/18-19/5573   09/08/2019 Serial 022
Patient Name Mr. SUJAY DAS Contact No9163773722
Address BSNL OFFICE STAFF, SERAMPORE Age 46  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis