Ticket for Outdoor Patient
Ward No.  5 U-PHC No.   Registration No.  02115 Date  04/07/2022
Token No SM/22-23/1035   04/07/2022 Serial 002
Patient Name Mr. SK AZAD Contact No8100364168
Address 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 Age 35  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis