Ticket for Outdoor Patient
Ward No.  28 U-PHC No.   Registration No.  00261 Date  27/09/2019
Token No SM/19-20/357   27/09/2019 Serial 010
Patient Name Mr. ARKO DAS Contact No9231681988
Address 30/34 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 Age 19 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis