Ticket for Outdoor Patient
Ward No.  16 U-PHC No.   Registration No.  10986 Date  20/12/2023
Token No SM/22-23/13954   20/12/2023 Serial 031
Patient Name Mr. CHANDRA PRAKASH LAL SRIVASTAV Contact No7044131217
Address 147A MANIKTALA DEY BAGAN Age 44 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis