Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09934 | Date 10/08/2023 |
| Token No | SM/22-23/11528 10/08/2023 | Serial | 009 |
| Patient Name | Mrs. JAMINA BEGUM | Contact No | 7439251429 |
| Address | 6B PARSHI LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||