Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  00616 Date  27/12/2019
Token No SM/19-20/1313   30/12/2019 Serial 016
Patient Name Mrs. SUJATA DAS Contact No7890489650
Address GHORAMARA P MALLICKPARA 712203 Age 36 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis