Ticket for Outdoor Patient
Ward No.  5 U-PHC No.   Registration No.  03466 Date  22/12/2022
Token No SM/22-23/5534   22/12/2022 Serial 003
Patient Name Mrs. SUMAN SHAW Contact No9330556001
Address 118/2 L.N ATTA ROAD CHAPDANI SERAMPORE Age 22  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis