Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  05291 Date  29/09/2023
Token No SM/22-23/13783   30/09/2023 Serial 003
Patient Name Mrs. PUNAM DEVI Contact No9088138577
Address 9/1/A/70 M J ROAD PRAVASHNAGAR SERAMPORE 712249 Age 50 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight 74 KG
Pulse Rate                  / min Height             cm
Diagnosis