Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03526 Date  02/12/2019
Token No SM/19-20/7805   02/12/2019 Serial 010
Patient Name Mr. GAUTAM NANDI Contact No6291374488
Address 5A BANERJEE PARA Age 50  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis