Ticket for Outdoor Patient
Ward No.  16 U-PHC No.   Registration No.  05667 Date  05/04/2022
Token No SM/22-23/2684   07/04/2022 Serial 013
Patient Name Mrs. SOMA SAL MAJHI Contact No7003939138
Address 40 NILMONI GHOSH LANE Age 19  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis