Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  07915 Date  09/12/2022
Token No SM/22-23/6900   09/12/2022 Serial 003
Patient Name Mr. SHIBAM GUPTA Contact No6289715049
Address 14D DEY STREET Age 18  Male
Token For Visit Doctor,Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis