Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  03919 Date  13/03/2023
Token No SM/22-23/7476   13/03/2023 Serial 009
Patient Name Mr. GOUTAM SRIMANI Contact No9748257765
Address 123 NEW MAHESH SERAMPORE 712203 Age 56  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis