Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05795 | Date 05/05/2022 |
| Token No | SM/22-23/2889 05/05/2022 | Serial | 028 |
| Patient Name | Mrs. ZAINAB KHATOON | Contact No | 8100296626 |
| Address | 8 RAJMOHON GOSWAMI LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||