Ticket for Outdoor Patient
Ward No.  24 U-PHC No.   Registration No.  00938 Date  13/02/2020
Token No SM/19-20/2286   15/02/2020 Serial 020
Patient Name Mrs. PRAMILA DOM Contact No9830288502
Address 43/25 N S ROAD RISHRA M RISHRA 712248 Age 47 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis