Ticket for Outdoor Patient
Ward No.  26 U-PHC No.   Registration No.  03652 Date  02/01/2020
Token No SM/19-20/8203   03/01/2020 Serial 001
Patient Name Mrs. UMA MAKAL Contact No9874450522
Address 8 BROJO DUTTA LANE Age 63 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis