Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  04796 Date  11/08/2023
Token No SM/22-23/11699   11/08/2023 Serial 019
Patient Name Mr. MOLOY DAS Contact No9836653885
Address 36 BHADURI LANE CHATRA SERAMPORE Age 50 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis