Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  08557 Date  15/03/2023
Token No SM/22-23/8307   15/03/2023 Serial 008
Patient Name Mr. GOURAV DAS Contact No9051572030
Address SHAMSHAN KALI Age 10  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis