Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  08151 Date  10/01/2023
Token No SM/22-23/7444   10/01/2023 Serial 022
Patient Name Mr. UMA SHANKAR PRADHAN Contact No6291357276
Address 30 NANILAL BHATTACHARJEE STREET Age 65  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis