Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05619 | Date 31/03/2022 |
| Token No | SM/21-22/2568 31/03/2022 | Serial | 023 |
| Patient Name | Mrs. SANJIDA PARVEEN | Contact No | 9331976293 |
| Address | 20 BAZAR BYE LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||