Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  10047 Date  21/08/2023
Token No SM/22-23/11866   22/08/2023 Serial 045
Patient Name Mr. SURAJIT GHOSH Contact No7003841054
Address 516 G T ROAD Age 40 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis