Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02390 | Date 01/07/2019 |
| Token No | SM/18-19/4562 01/07/2019 | Serial | 025 |
| Patient Name | Miss MUSKAN KHAN | Contact No | 9681443236 |
| Address | 84 DEY ST | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||