Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  02786 Date  13/08/2019
Token No SM/18-19/5579   13/08/2019 Serial 004
Patient Name Mr. BIJAY KUMAR PRASAD Contact No8013155733
Address 13 DEY STREET Age 33  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis