Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03761 | Date 24/01/2020 |
| Token No | SM/19-20/8471 24/01/2020 | Serial | 013 |
| Patient Name | Mrs. MAJIDA BEGUM | Contact No | NOT GIVEN |
| Address | MUSALMAN PARA LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||