Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  04063 Date  12/10/2020
Token No SM/19-20/8990   12/10/2020 Serial 002
Patient Name Mrs. RAMA GHOSH Contact No9007635361
Address BHAGIRATHI LANE Age 43 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis