Ticket for Outdoor Patient
Ward No.  6 U-PHC No.   Registration No.  04069 Date  21/04/2023
Token No SM/22-23/9257   02/06/2023 Serial 002
Patient Name Mr. AMULYA KUMAR BRAHMA Contact No9681082290
Address 4B MALPARA LANE MALLICKPARA SERAMPORE 712203 Age 73 YRS  Male
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis