Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  04759 Date  09/08/2023
Token No SM/22-23/11545   09/08/2023 Serial 003
Patient Name Miss SUMATI DAS Contact No8100093899
Address 72/A/6 PROVASNAGAR SERAMPORE M 712249 Age 14 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis