Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06598 | Date 03/08/2022 |
| Token No | SM/22-23/4268 03/08/2022 | Serial | 014 |
| Patient Name | Mrs. NASIMA BEGUM.. | Contact No | 9874407704 |
| Address | 20 PARSHI LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||