Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  02501 Date  13/12/2018
Token No SM/18-19/5173   13/12/2018 Serial 020   Last Visit: 13/12/2018
Patient Name Mr. IBRAHIM Contact No9007755751
Address 4/A ARBINDO SARNI CHATRA Age 9  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis