Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06383 | Date 19/07/2022 |
| Token No | SM/22-23/3905 19/07/2022 | Serial | 028 |
| Patient Name | Mrs. RASIDA PARBIN | Contact No | 9163336751 |
| Address | 16 PARSHI LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||