Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06113 | Date 16/06/2022 |
| Token No | SM/22-23/3429 16/06/2022 | Serial | 005 |
| Patient Name | Mrs. ANJUM ARA | Contact No | 7003362446 |
| Address | 16E RABINDRA BHAWAN ROAD | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||