Ticket for Outdoor Patient
Ward No.  16 U-PHC No.   Registration No.  08347 Date  16/02/2023
Token No SM/22-23/7875   16/02/2023 Serial 010
Patient Name Mr. PIU DAS Contact No6291575316
Address 28/26 S C GHOSH LANE Age 18  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis