Ticket for Outdoor Patient
Ward No.  29 U-PHC No.   Registration No.  04098 Date  26/04/2023
Token No SM/22-23/8414   26/04/2023 Serial 007
Patient Name Mr. BASUDEB DAS Contact No8917252790
Address 72/A/10 D N BHATTACHERJEE SARANI PROVASNAGAR SERAMPORE 712249 Age 39 YRS  Male
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm
Diagnosis