Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03536 Date  03/12/2019
Token No SM/19-20/7840   03/12/2019 Serial 008
Patient Name Mr. SK EBRAHAM AHMAD Contact No8820394467
Address 26 A K C BHATTACHARJEE STREET Age 23  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis