Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  05327 Date  04/10/2023
Token No SM/22-23/13896   04/10/2023 Serial 013
Patient Name Mr. SIBA BAULDAS Contact No7811859028
Address D CRUZE GARDEN LANE SERAMPORE 712203 Age 16 YRS  Male
Token For Visit Doctor,Pathology Test Charge Free
B.P                  mmHg Weight 57 KG
Pulse Rate                  / min Height             cm
Diagnosis