Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01498 | Date 27/04/2020 |
| Token No | SM/22-23/20296 30/03/2024 | Serial | 012 |
| Patient Name | Mrs. KOHINU CHATTERJEE | Contact No | 9051231165 |
| Address | B/79/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||