Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  09342 Date  14/06/2023
Token No SM/22-23/10190   14/06/2023 Serial 012
Patient Name Mrs. MADHURA DAS Contact No8697226125
Address CHATRA BARUIPARA Age 37 YRS  Female
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis