Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  00939 Date  13/02/2020
Token No SM/19-20/2209   13/02/2020 Serial 013
Patient Name Mrs. KOYENA DEY Contact No8697119592
Address Age 18 Y  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis