Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  10689 Date  30/10/2023
Token No SM/22-23/13097   30/10/2023 Serial 013
Patient Name Mr. TRILOKI SHAW Contact No7069632826
Address 60 BLC MILLS ROAD Age 48 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis