Ticket for Outdoor Patient
Ward No.  4 U-PHC No.   Registration No.  03229 Date  18/10/2019
Token No SM/19-20/8046   14/12/2019 Serial 001
Patient Name Mr. BIBHU PADA SARKAR Contact No7450043229
Address 2 NO DAKTAR BAGAN LANE Age 54  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis