Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00319 | Date 28/08/2018 |
| Token No | SM/21-22/2465 17/03/2022 | Serial | 011 |
| Patient Name | Mrs. SHIKHA KARMAKAR | Contact No | 7044680744 |
| Address | KALITALA | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||