Ticket for Outdoor Patient
Ward No.  27 U-PHC No.   Registration No.  03384 Date  12/12/2022
Token No SM/22-23/10178   04/07/2023 Serial 064
Patient Name Mrs. SHAMPA DAS Contact No8478001629
Address 9/A/1 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 Age 34 YRS  Female
Token For Visit Doctor, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis