Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  04026 Date  21/09/2020
Token No SM/19-20/8882   21/09/2020 Serial 002
Patient Name Mr. BALESWAR PADIARI Contact No9748923835
Address 19 DOSTI LANE Age 35  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis