Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05707 | Date 19/04/2022 |
| Token No | SM/22-23/13637 08/12/2023 | Serial | 011 |
| Patient Name | Mrs. JASMIN PARVEEN | Contact No | 9123038433 |
| Address | 54/I/13 K M SHA STREET | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||