Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  01673 Date  15/02/2019
Token No SM/22-23/10500   30/06/2023 Serial 003
Patient Name Mr. SUKUMAR DAS Contact No9163101741
Address 27 DEY STREET Age 82 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis