Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05915 | Date 24/05/2022 |
| Token No | SM/22-23/4698 25/08/2022 | Serial | 009 |
| Patient Name | Mrs. FATEMA BIBI. | Contact No | NOT GIVEN |
| Address | DHARMATALA | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||