Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03595 Date  10/12/2019
Token No SM/19-20/8053   14/12/2019 Serial 008
Patient Name Mrs. BHARATI BISWAL Contact No8100218312
Address 45 DR. N L BHATTACHARYA STREET Age 37 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis