Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  07040 Date  14/09/2022
Token No SM/22-23/5119   14/09/2022 Serial 018
Patient Name Mr. MOLOY SEN Contact No9903757734
Address 39 PANDIT KALINATH BHATTACHARJEE STREET Age 42  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis