Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  03261 Date  22/10/2019
Token No SM/18-19/7103   22/10/2019 Serial 018
Patient Name Mrs. PAMPA GHOSH Contact No7044127241
Address 2 SASHIBHUSAN GHOSH LANE Age 36  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis