Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10013 | Date 18/08/2023 |
| Token No | SM/22-23/11723 18/08/2023 | Serial | 023 |
| Patient Name | Mrs. SAJAHAN BEGUM | Contact No | 6291688155 |
| Address | 6 PARSHI LANE | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||