Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09553 | Date 05/07/2023 |
| Token No | SM/22-23/10658 05/07/2023 | Serial | 033 |
| Patient Name | Mrs. NEHA KHATOON | Contact No | 7980956101 |
| Address | 59 PATUA PARA | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||