Ticket for Outdoor Patient
Ward No.  26 U-PHC No.   Registration No.  05413 Date  10/02/2022
Token No SM/21-22/2130   10/02/2022 Serial 010
Patient Name Mr. BAIDYANATH DAS Contact No9883242514
Address 15 G T ROAD, KALITALA Age 36  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis