Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05622 | Date 31/03/2022 |
| Token No | SM/21-22/2571 31/03/2022 | Serial | 026 |
| Patient Name | Mrs. NARGIS BANO | Contact No | 6289053653 |
| Address | 16 BAZAR BYE LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||