Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  08137 Date  09/01/2023
Token No SM/22-23/7414   09/01/2023 Serial 002
Patient Name Mr. NANDALAL ROY Contact No8478967423
Address 26 K C BHATTACHARJEE STREET Age 55  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis