Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  02990 Date  05/09/2019
Token No SM/18-19/6515   17/09/2019 Serial 015
Patient Name Mr. PADMAN APAT Contact No9088658014
Address 44B 5 DR N L BHATTACHARYA STREET Age 42  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis