Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  10568 Date  28/09/2023
Token No SM/22-23/12790   28/09/2023 Serial 021
Patient Name Mr. KANHA PRADHAN Contact No8777631750
Address 45 N.L. BHATTACHARYA STREET Age 12 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis