Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02350 | Date 25/06/2019 |
| Token No | SM/18-19/4437 25/06/2019 | Serial | 025 |
| Patient Name | Mrs. SABIRA BIBI | Contact No | 9231319240 |
| Address | K.M.SHA ST | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||