Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10772 | Date 09/11/2023 |
| Token No | SM/22-23/13268 09/11/2023 | Serial | 017 |
| Patient Name | Mrs. KAMIA BIBI | Contact No | 7980097578 |
| Address | MANIKTALA | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||