Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00275 Date  30/09/2019
Token No SM/19-20/414   30/09/2019 Serial 038
Patient Name Mrs. GURIYA DEBI Contact No6163155669
Address 32 NO B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 Age 30  Female
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis