Ticket for Outdoor Patient
Ward No.  4 U-PHC No.   Registration No.  08682 Date  28/08/2020
Token No SM/19-20/25280   28/08/2020 Serial 034   Last Visit: 28/08/2020
Patient Name Mr. SUMIT SHAW Contact No9123894575
Address 10/A/Z/Y/E/F PAMPANAGAR,BAIDYABATI(M),DEEP PUKUR DAR Age 16 YRS  Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis