Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  10035 Date  21/08/2023
Token No SM/22-23/11771   21/08/2023 Serial 006
Patient Name Mr. ASHOK SWAIN Contact No9836218119
Address 12 NO. LINE, INDIA JUTE MILL Age 52 YRS  Male
Token For Visit Doctor, Charge Chargable
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis