Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  04029 Date  21/09/2020
Token No SM/19-20/8885   21/09/2020 Serial 005
Patient Name Mr. HARAPRASAD DAS Contact No9836287642
Address 538 G T ROAD Age 67  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis