Ticket for Outdoor Patient
Ward No.  28 U-PHC No.   Registration No.  00264 Date  27/09/2019
Token No SM/19-20/362   27/09/2019 Serial 015
Patient Name Mr. TALIB ALI Contact No9681979480
Address 117 2NO RAJYADHARPUR GOVT COLONY,SERAMPORE Age 58  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis