Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11128 | Date 12/02/2024 |
| Token No | SM/22-23/14727 12/02/2024 | Serial | 003 |
| Patient Name | Mrs. MAMTAZ BEGUM | Contact No | NOT GIVEN |
| Address | 10 MUSALMAN PARA LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||