Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03748 Date  17/01/2020
Token No SM/19-20/8447   22/01/2020 Serial 001
Patient Name Mr. SHIBKUMAR SHAW Contact No7450087690
Address 2 LALIT MOHON BHATTACHARYA STREET Age 49 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis