Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00073 Date  11/09/2019
Token No SM/19-20/74   11/09/2019 Serial 004
Patient Name Mrs. RUBY DAS Contact No9681931876
Address 34/B B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 Age 37 YRS  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis