Ticket for Outdoor Patient
Ward No.  4 U-PHC No.   Registration No.  03377 Date  12/12/2022
Token No SM/22-23/7246   04/03/2023 Serial 001
Patient Name Mrs. JYOTSNA DAS Contact No6290980507
Address 15/32/B/N GODAR BAGAN BYE LANE CHATRA BAIDYABATI M 712204 Age 79 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis