Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02953 | Date 30/08/2019 |
| Token No | SM/18-19/6081 30/08/2019 | Serial | 064 |
| Patient Name | Mrs. IBRAHIM LODH | Contact No | 7005896230 |
| Address | 5 PANCHANAN TALA LANE | Age | 59 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||