Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06446 | Date 22/07/2022 |
| Token No | SM/22-23/3980 22/07/2022 | Serial | 019 |
| Patient Name | Mrs. SIMA SHAW | Contact No | 8274989180 |
| Address | 11 BAZAR BYE LANE | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||