Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  10364 Date  12/09/2023
Token No SM/22-23/12413   12/09/2023 Serial 018
Patient Name Mrs. CHANDNI DOM Contact No7449792838
Address SHAMSHAN KALI Age 22 YRS  Female
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis