Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  00092 Date  12/09/2019
Token No SM/19-20/98   12/09/2019 Serial 015
Patient Name Miss PRIYANKA DAS Contact No6290521542
Address 65/22/1 PROVASNAGER SERAMPORE 712249 Age 13 YRS  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis