Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06996 | Date 09/09/2022 |
| Token No | SM/22-23/5021 09/09/2022 | Serial | 002 |
| Patient Name | Mrs. SUNITA SHAW. | Contact No | 8240589520 |
| Address | 6/D/1 RAILAND CIRCULAR ROAD | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||