Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06416 | Date 20/07/2022 |
| Token No | SM/22-23/10858 13/07/2023 | Serial | 017 |
| Patient Name | Mrs. BINTI DEBI | Contact No | NOT GIVEN |
| Address | R B SARANI | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||