Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  02994 Date  29/10/2022
Token No SM/22-23/3829   29/10/2022 Serial 003
Patient Name Mr. GOUTAM DOLUI Contact No9831331158
Address 38/A B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 Age 24 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis