Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  01126 Date  04/03/2020
Token No SM/19-20/2811   04/03/2020 Serial 042
Patient Name Mr. AJOY SHUILI Contact No8981540617
Address B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 Age 18  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis