Ticket for Outdoor Patient
Ward No.  10 U-PHC No.   Registration No.  03580 Date  09/12/2019
Token No SM/19-20/8074   16/12/2019 Serial 005
Patient Name Mrs. PRIYANKA DAS ROY Contact No8240757160
Address 48 K M BHATTACHARYA STREET Age 27  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis