Ticket for Outdoor Patient
Ward No.  22 U-PHC No.   Registration No.  05402 Date  08/02/2022
Token No SM/21-22/2111   08/02/2022 Serial 012
Patient Name Mr. RINA SHARMA Contact No9330202045
Address GANGULY BAGAN, MAHESH Age 30  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis