Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  09764 Date  25/07/2023
Token No SM/22-23/11173   25/07/2023 Serial 003
Patient Name Mr. CHANDAN SHA Contact No7890044628
Address 80/A/2 DEY STREET Age 28 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis