Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  03521 Date  02/12/2019
Token No SM/19-20/7796   02/12/2019 Serial 001
Patient Name Mrs. LIPIKA BISWAL Contact No7278987710
Address 10 KALI DAS BHATTACHARYA LANE Age 40  Female
Token For Medicine,Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis