Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09012 | Date 11/05/2023 |
| Token No | SM/22-23/10225 15/06/2023 | Serial | 012 |
| Patient Name | Mrs. HAYATUNNESHA | Contact No | NOT GIVEN |
| Address | BOT TALA | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||