Ticket for Outdoor Patient
Ward No.  6 U-PHC No.   Registration No.  06995 Date  09/09/2022
Token No SM/22-23/5020   09/09/2022 Serial 001
Patient Name Mr. SAMIR DAS Contact No7003589740
Address 54 NEW MAHESH Age 54  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis