Ticket for Outdoor Patient
Ward No.  16 U-PHC No.   Registration No.  08670 Date  30/03/2023
Token No SM/22-23/8633   30/03/2023 Serial 005
Patient Name Mr. GOPAL BHUIYA Contact No8013284928
Address J.N. LAHIRI ROAD Age 36 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis