Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03710 Date  07/01/2020
Token No SM/22-23/8253   13/03/2023 Serial 036
Patient Name Mr. DILIP KUMAR SHAW Contact No9874440016
Address 14 ACHARYA K C BHATTACHARYE STREET Age 34  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis