Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  01077 Date  26/02/2020
Token No SM/19-20/2715   29/02/2020 Serial 004
Patient Name Mrs. MINA SHARMA Contact No7890284127
Address 34/B/11 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 Age 60 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis