Ticket for Outdoor Patient
Ward No.  28 U-PHC No.   Registration No.  00904 Date  08/02/2020
Token No SM/19-20/2102   08/02/2020 Serial 003
Patient Name Mr. DIPANKAR NAG Contact No8240714442
Address 30/66 TARAPUKUR COLONY SERAMPORE 712203 Age 45 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis