Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  09929 Date  10/08/2023
Token No SM/22-23/11522   10/08/2023 Serial 003
Patient Name Mr. ASIT GHOSH Contact No7044733239
Address 29 S B GHOSH LANE Age 60 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis