Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  01354 Date  04/04/2020
Token No SM/19-20/3639   04/04/2020 Serial 018
Patient Name Mr. SUNDARAM GUPTA Contact No9163247576
Address 43/39/B/5 PRAVASHNAGAR SERAMPORE 712249 Age 14 YRS  Male
Token For Visit Doctor,Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis