Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  10319 Date  07/09/2023
Token No SM/22-23/12310   07/09/2023 Serial 003
Patient Name Mr. MONOJ KUMAR SHAW Contact No8583849386
Address 6 RAM SITA LANE NAYA BAGAN Age 40 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis