Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  03614 Date  14/12/2019
Token No SM/19-20/8072   16/12/2019 Serial 003
Patient Name Mr. PRADIP CHOWDHURY Contact No9432248901
Address 33 PANCHANAN TALA LANE Age 65  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis