Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09703 | Date 20/07/2023 |
| Token No | SM/22-23/11059 20/07/2023 | Serial | 019 |
| Patient Name | Mrs. SITARA KHATIK | Contact No | 9830740544 |
| Address | 40 BLC MILLS ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||