Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  01533 Date  30/04/2020
Token No SM/19-20/4008   30/04/2020 Serial 017
Patient Name Mr. SURINDER MONDAL Contact No8478092499
Address 97/P/8 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 Age 40  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis