Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  04055 Date  17/04/2023
Token No SM/22-23/8231   17/04/2023 Serial 012
Patient Name Mrs. MITHILA DAS Contact No8617277518
Address 42/43/A/2 PURBAPARA PROVASHNAGAR SERAMPORE 712249 Age 56 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis