Ticket for Outdoor Patient
Ward No.  28 U-PHC No.   Registration No.  01098 Date  28/02/2020
Token No SM/19-20/2665   28/02/2020 Serial 004
Patient Name Mrs. PIYALI ROY Contact No8777645089
Address 72/A/4/C MALLICKPARA LANE SERAMPORE 712203 Age 33 YRS  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis