Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00050 Date  09/09/2019
Token No SM/19-20/1064   12/12/2019 Serial 005
Patient Name Mrs. UMA RANI DEY Contact No8697877036
Address 65/5/12 M J ROAD PRABASHNAGAR SERAMPORE 712249 Age 58 YRS  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis