Ticket for Outdoor Patient
Ward No.  14 U-PHC No.   Registration No.  03643 Date  19/12/2019
Token No SM/19-20/8139   19/12/2019 Serial 007
Patient Name Miss SONALI DAS Contact No7980367205
Address 16A KAILASH CH. CHATTERJEE LANE Age 27 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis