Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06110 | Date 16/06/2022 |
| Token No | SM/22-23/3426 16/06/2022 | Serial | 002 |
| Patient Name | Mrs. ZEENAT KHATOON | Contact No | 6290938200 |
| Address | 15/16 RABINDRA BHAWAN ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||