Ticket for Outdoor Patient
Ward No.  5 U-PHC No.   Registration No.  03747 Date  13/02/2023
Token No SM/22-23/6753   13/02/2023 Serial 025
Patient Name Mr. SWAPAN DAS Contact No6290265709
Address 32/1 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 Age 39 YRS  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis