Ticket for Outdoor Patient
Ward No.  15 U-PHC No.   Registration No.  09617 Date  13/07/2023
Token No SM/22-23/10905   15/07/2023 Serial 004
Patient Name Mr. ASHIM KUMAR DAS Contact No9830156248
Address 54 DHULIPARA LANE Age 66 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis