Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  02603 Date  02/09/2022
Token No SM/22-23/8038   08/04/2023 Serial 001
Patient Name Mr. KHOKAN BANIK Contact No8013863542
Address 24 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 Age 43 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis