Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  08101 Date  04/01/2023
Token No SM/22-23/7338   04/01/2023 Serial 001
Patient Name Mr. CHHOTE LAL ROY Contact No9135564554
Address RAM SITA LANE Age 33 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis