Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03064 Date  17/09/2019
Token No SM/18-19/6595   21/09/2019 Serial 014
Patient Name Mr. JITENDAR APAT Contact No9007591910
Address 2A ACHARYA BHATTACHARYA STREET Age 38  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis