Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  07141 Date  27/09/2022
Token No SM/22-23/5328   27/09/2022 Serial 002
Patient Name Mr. RAMKRISHNA DAS Contact No8420473071
Address 11U S B GHOSH LANE Age 53  Male
Token For Visit Doctor,Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis