Ticket for Outdoor Patient
Ward No.  16 U-PHC No.   Registration No.  09376 Date  16/06/2023
Token No SM/22-23/11766   21/08/2023 Serial 001
Patient Name Mr. GOUTAM DEY Contact No7685849861
Address 140 G T ROAD, MANIKTALA Age 45 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis