Ticket for Outdoor Patient
Ward No.  28 U-PHC No.   Registration No.  09519 Date  03/07/2023
Token No SM/22-23/10619   04/07/2023 Serial 041
Patient Name Mr. GOPAL DAS Contact No8961292956
Address MALLICKPARA Age 60 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis