Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  02947 Date  30/08/2019
Token No SM/18-19/6074   30/08/2019 Serial 057
Patient Name Mr. APU DAS Contact No8017802770
Address 32 N L BHATTACHARJEE STREET Age 56  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis