Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01009 | Date 18/02/2020 |
| Token No | SM/22-23/17957 30/01/2024 | Serial | 046 |
| Patient Name | Mrs. PADMA SANTRA | Contact No | 8017111507 |
| Address | 12/C TARAPUKUR COLONY MALLCKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||