Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  04650 Date  28/07/2023
Token No SM/22-23/11094   28/07/2023 Serial 026
Patient Name Mrs. DEEPTA MITRA Contact No7278229342
Address 16 A,JAGAMOHAN LAHIRI LANE Age 39 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis