Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  03576 Date  09/12/2019
Token No SM/19-20/8058   14/12/2019 Serial 013
Patient Name Mr. MANINDRA MONDAL Contact No8100414854
Address PRAVASH NAGAR, PURBA PARA Age 51 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis