Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  07976 Date  16/12/2022
Token No SM/22-23/9611   17/05/2023 Serial 005
Patient Name Mr. AMAL DAS Contact No9748504008
Address 7 A B MUKHERJEE LANE Age 57 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis