Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  10242 Date  31/08/2023
Token No SM/22-23/12150   31/08/2023 Serial 028
Patient Name Mr. MD SAMSAD Contact No8100813115
Address Age 31 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis