Ticket for Outdoor Patient
Ward No.  17 U-PHC No.   Registration No.  03321 Date  02/02/2019
Token No SM/18-19/7949   04/02/2019 Serial 045   Last Visit: 28/02/2019
Patient Name Mrs. PURNIMA DEY Contact No9123618568
Address THAKURBARI STREET Age 49 YRS  Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis