Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  05796 Date  05/12/2023
Token No SM/22-23/16169   05/12/2023 Serial 009
Patient Name Mrs. SIPRA DAS Contact No7003735798
Address 43/6 GURU GARDEN ROAD SERAMPORE 712249 Age 83 YRS  Female
Token For Visit Doctor,Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis