Ticket for Outdoor Patient
Ward No.  15 U-PHC No.   Registration No.  10725 Date  02/11/2023
Token No SM/22-23/13155   02/11/2023 Serial 017
Patient Name Mr. SAMIR CHAKRABORTY Contact No8420499915
Address 108/C/1 POTUA PARA Age 63 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis