Ticket for Outdoor Patient
Ward No.  6 U-PHC No.   Registration No.  00019 Date  06/09/2019
Token No SM/19-20/19   06/09/2019 Serial 016
Patient Name Mr. ADITYA DAS Contact No8481978503
Address 10/J HARIPARA LANE SERAMPORE 712203 Age 27 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis