Ticket for Outdoor Patient
Ward No.  13 U-PHC No.   Registration No.  04010 Date  14/08/2020
Token No SM/22-23/12066   28/08/2023 Serial 068
Patient Name Mrs. RITA DAS Contact No8017058152
Address 90C/1 DEY STREET Age 45 yrs  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis