Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  09002 Date  11/05/2023
Token No SM/22-23/9612   17/05/2023 Serial 006
Patient Name Mr. BALIRAM PRASAD Contact No8777314246
Address 2 GOPAL GANGULY LANE Age 36  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis