Ticket for Outdoor Patient
Ward No.  23 U-PHC No.   Registration No.  10700 Date  31/10/2023
Token No SM/22-23/13109   31/10/2023 Serial 003
Patient Name Mrs. MOUSUMI BOSE Contact No6290525541
Address 27/1 K. GOSWAMI SARANI Age 38 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis