Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03701 | Date 07/01/2020 |
| Token No | SM/19-20/8290 07/01/2020 | Serial | 021 |
| Patient Name | Mrs. SITARA BIBI | Contact No | NOT GIVEN |
| Address | INDIA JUTE MILL | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||