Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08509 | Date 03/03/2023 |
| Token No | SM/22-23/11287 01/08/2023 | Serial | 014 |
| Patient Name | Mrs. GURIYA SHAW | Contact No | 9330287376 |
| Address | 2 K.M. B. STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||