Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08227 | Date 02/02/2023 |
| Token No | SM/22-23/11267 31/07/2023 | Serial | 013 |
| Patient Name | Mrs. REJINA KHAN | Contact No | 9331850502 |
| Address | 27 MUSALMAN PARA LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||