Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  09087 Date  17/05/2023
Token No SM/22-23/9631   17/05/2023 Serial 025
Patient Name Mr. SHYAMAL APAT Contact No9330802928
Address 2A K C BHATTACHARYA STREET Age 59 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis