Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10856 | Date 01/12/2023 |
| Token No | SM/22-23/13493 01/12/2023 | Serial | 008 |
| Patient Name | Mrs. MONOWARA BEGUM... | Contact No | 8018598742 |
| Address | L M B STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||