Ticket for Outdoor Patient
Ward No.  26 U-PHC No.   Registration No.  03960 Date  20/03/2020
Token No SM/19-20/8749   20/03/2020 Serial 023
Patient Name Mrs. BULA DAS Contact No9874056424
Address 42 G T ROAD, KALITALA, MADAM BAGAN Age 54 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis