Ticket for Outdoor Patient
Ward No.  12 U-PHC No.   Registration No.  03802 Date  05/02/2020
Token No SM/19-20/8542   05/02/2020 Serial 007
Patient Name Mrs. CHAMPA DEVI Contact No9117669972
Address 22/1 N L BHATTACHARJEE STREET Age 60 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis