Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00564 Date  17/12/2019
Token No SM/19-20/1144   17/12/2019 Serial 013
Patient Name Mr. AJIT DAS Contact No9681931876
Address 34/B/47 SUKANTA PALLY PRABASHNAGAR SERAMPORE 712203 Age 75 YRS  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis