Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  10392 Date  14/09/2023
Token No SM/22-23/12462   14/09/2023 Serial 002
Patient Name Mr. MADHUSUDAN SWAIN Contact No8984369378
Address 12 PITAMBAR DEY LANE Age 36 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis