Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  08973 Date  04/05/2023
Token No SM/22-23/9392   04/05/2023 Serial 012
Patient Name Mr. DINANATH SHA Contact No9062375128
Address 30 DR. N L BHATTACHARYA STREET Age 46  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis