Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  03874 Date  05/03/2020
Token No SM/19-20/8644   05/03/2020 Serial 005
Patient Name Mr. BHIM SEN DAS Contact No9883172955
Address 12 PITAMBAR DEY LANE Age 49 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis