Ticket for Outdoor Patient
Ward No.  15 U-PHC No.   Registration No.  08510 Date  03/03/2023
Token No SM/22-23/8185   03/03/2023 Serial 018
Patient Name Mr. LAL MOHAN DAS Contact No7439807767
Address KHASH BAGAN LANE Age 55  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis