Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00773 Date  21/01/2020
Token No SM/19-20/1731   22/01/2020 Serial 011
Patient Name Mr. JAIDEEP SIL Contact No9143064981
Address PROVASNAGER Age 9  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis