Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  01089 Date  27/02/2020
Token No SM/19-20/2716   29/02/2020 Serial 005
Patient Name Mrs. ARATI DAS Contact No8013327589
Address 34/B/39 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 Age 75 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis