Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  08447 Date  23/02/2023
Token No SM/22-23/8052   23/02/2023 Serial 021
Patient Name Mr. SAJAL KUMAR DUTTA Contact No8961546167
Address 55 CHATRA BARUI PARA Age 62  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis